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Individual
REBECCA VANDER-LUGT
Active
Individual
REBECCA VANDER-LUGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6851110907
LICENSE NUMBER
MI
Enumeration date
10/07/2021
Last updated
10/07/2021
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