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Individual
ADAM MARINUS LOUDERBACK
Active
Individual
ADAM MARINUS LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
101Y00000X
Counselor
—
—
Other
Enumeration date
09/08/2008
Last updated
06/06/2011
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