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Individual
MIRANDA YOKUM
Active
Individual
MIRANDA YOKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017435
VA
1041C0700X
Clinical Social Worker
32858
MD
1041C0700X
Clinical Social Worker
LC200003393
DC
Other
Enumeration date
10/31/2024
Last updated
03/14/2025
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