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Individual
LISA MARIE SPRAGUE
Active
Individual
LISA MARIE SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05549500
NJ
1041C0700X
Clinical Social Worker
Primary
44SL05643300
NJ
Other
Enumeration date
09/13/2012
Last updated
04/09/2021
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