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Individual
PAUL FREDERICK HILLEBERT
Active
Individual
PAUL FREDERICK HILLEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWC-C, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA418
MD
1041C0700X
Clinical Social Worker
Primary
12722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442810200
—
MD
Enumeration date
10/04/2010
Last updated
02/07/2018
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