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Individual
MRS. STANIS M BECK
Active
Individual
MRS. STANIS M BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00266900
NJ
1041C0700X
Clinical Social Worker
Primary
R0139281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526778
—
NY
01
—
NY040
MEDIATOR CERTIFICATION
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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