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Individual
JOIE ADAM DERITIS
Active
Individual
JOIE ADAM DERITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090555
NY
Other
Enumeration date
11/05/2017
Last updated
06/30/2022
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