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Individual
MR. GEORGE M CODY
Active
Individual
MR. GEORGE M CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12884
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
19604
MD
101YM0800X
Mental Health Counselor
12884
CT
101YM0800X
Mental Health Counselor
Primary
19604
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12884
CONNECTICUT BOARD OF SOCIAL WORK EXAMINERS
CT
01
—
19604
MARYLAND BOARD OF SOCIAL WORK EXAMINERS
MD
Enumeration date
08/21/2006
Last updated
01/10/2025
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