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Individual
TRINA T. MIZER
Active
Individual
TRINA T. MIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019038979
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104530269
MEDICARE
MO
05
—
490055477
—
MO
Enumeration date
06/19/2018
Last updated
02/04/2022
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