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Individual
LOC VU
Active
Individual
LOC VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW27719
CA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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