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Individual
SOMESHA WALLACE PICKENS
Active
Individual
SOMESHA WALLACE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
05/26/2020
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