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Individual
NANA K NKETIAH
Active
Individual
NANA K NKETIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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