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Individual
TINA SEDERSTEN
Active
Individual
TINA SEDERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
904
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
10/26/2006
Last updated
07/17/2012
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