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Individual
JESPER D SHAPIRO
Active
Individual
JESPER D SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851108224
MI
1041C0700X
Clinical Social Worker
Primary
6801117421
MI
Other
Enumeration date
02/20/2021
Last updated
10/07/2024
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