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Individual
MR. STEVEN LICARDI
Active
Individual
MR. STEVEN LICARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903002898
VA
104100000X
Social Worker
098883
NY
1041C0700X
Clinical Social Worker
Primary
096058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096058
LICENSE NUMBER
NY
Enumeration date
09/20/2023
Last updated
09/20/2023
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