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Individual
KAREN M CHAMPAGNE-LISTER
Active
Individual
KAREN M CHAMPAGNE-LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW002578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW002578
STATE LICENCE
FL
Enumeration date
02/13/2007
Last updated
01/24/2024
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