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Individual
SHAKITA PETE
Active
Individual
SHAKITA PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801101331
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119284801
—
MI
Enumeration date
07/20/2017
Last updated
07/20/2017
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