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Individual
REBEKAH E VERDUGO
Active
Individual
REBEKAH E VERDUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61261902
WA
1041C0700X
Clinical Social Worker
9046-C
NV
1041C0700X
Clinical Social Worker
Primary
LW61271858
WA
Other
Enumeration date
10/10/2016
Last updated
02/13/2024
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