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Individual
MAISHA GILES
Active
Individual
MAISHA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304694
MN
1041C0700X
Clinical Social Worker
24058
MN
106H00000X
Marriage & Family Therapist
2611
MN
Other
Enumeration date
02/10/2014
Last updated
03/30/2017
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