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Individual
MRS. WANDA GEORGEANN BEBOW
Active
Individual
MRS. WANDA GEORGEANN BEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSST
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803074642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230016151221112
CERTIFIED NURSE AIDE
MI
01
—
6803074642
BOARD OF SOCIAL WORK SOCIAL SERVICE TECHNICIAN REGISTRATION
MI
Enumeration date
03/13/2014
Last updated
12/06/2021
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