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Individual
NOAH RECTOR
Active
Individual
NOAH RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC, MED.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303990
MN
1041C0700X
Clinical Social Worker
Primary
23792
MN
Other
Enumeration date
07/15/2019
Last updated
03/06/2020
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