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Individual
MICHELLE LEIGH LANEAVE
Active
Individual
MICHELLE LEIGH LANEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489001
—
WV
Enumeration date
01/12/2018
Last updated
01/12/2018
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