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Individual
HOLLY JEAN LAGO
Active
Individual
HOLLY JEAN LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801103114
MI
1041C0700X
Clinical Social Worker
Primary
6801115492
MI
1041C0700X
Clinical Social Worker
6851103114
MI
Other
Enumeration date
07/11/2019
Last updated
11/18/2022
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