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Individual
JAQ L ZUIDEMA
Active
Individual
JAQ L ZUIDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LCSW, ASDCS, TIYT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.028001
IL
1041C0700X
Clinical Social Worker
21219
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2017
Last updated
05/14/2025
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