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Individual
JANAKA VANDER KOOI
Active
Individual
JANAKA VANDER KOOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6657928-3501
UT
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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