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Individual
MR. JAMES MAYER
Active
Individual
MR. JAMES MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073722-1
NY
1041C0700X
Clinical Social Worker
079090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003069
—
NY
Enumeration date
11/23/2010
Last updated
05/09/2016
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