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Individual
MS. MICHELLE ROLDAN IDIR
Active
Individual
MS. MICHELLE ROLDAN IDIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
088641
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053524355
—
NY
Enumeration date
05/07/2007
Last updated
10/26/2017
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