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Individual
PAULA SHAGIN
Active
Individual
PAULA SHAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2038
NH
1041C0700X
Clinical Social Worker
Primary
120217
MA
1041C0700X
Clinical Social Worker
44SC05713600
NJ
Other
Enumeration date
06/03/2014
Last updated
08/20/2018
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