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Individual
MARK M ZIMMERMANN
Active
Individual
MARK M ZIMMERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
081485
NY
1041C0700X
Clinical Social Worker
081485
NY
1041C0700X
Clinical Social Worker
32135
MD
1041C0700X
Clinical Social Worker
LC200003450
DC
1041C0700X
Clinical Social Worker
R081485
NY
Other
Enumeration date
09/16/2008
Last updated
05/28/2025
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