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Individual
JOSE VARGAS
Active
Individual
JOSE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16811
NY
1041C0700X
Clinical Social Worker
Primary
078403-1
NY
Other
Enumeration date
06/12/2007
Last updated
10/23/2012
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