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Individual
MAURICE SHANE ETTER
Active
Individual
MAURICE SHANE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0904009951
VA
1041C0700X
Clinical Social Worker
1053821884
VA
Other
Enumeration date
10/06/2017
Last updated
06/23/2023
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