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Individual
MARY ELLEN LILES LEMIEUX
Active
Individual
MARY ELLEN LILES LEMIEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09926365
CO
1041C0700X
Clinical Social Worker
11557310-3501
UT
1041C0700X
Clinical Social Worker
Primary
73557
CA
Other
Enumeration date
01/06/2015
Last updated
10/26/2023
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