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Individual
SONIA DUBOSE
Active
Individual
SONIA DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
150.108061
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
36580
IL
101YM0800X
Mental Health Counselor
149.027190
IL
104100000X
Social Worker
150.108061
IL
1041C0700X
Clinical Social Worker
Primary
149.027190
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194195024
MMI
IL
Enumeration date
10/05/2015
Last updated
06/28/2024
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