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Individual
LAUREN MELISSA WING
Active
Individual
LAUREN MELISSA WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00360-LC
NV
101YM0800X
Mental Health Counselor
6009
FL
101YM0800X
Mental Health Counselor
6401012831
MI
101YM0800X
Mental Health Counselor
Primary
CP0273
NV
Other
Enumeration date
06/22/2011
Last updated
05/01/2018
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