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Individual
KATHERINE SARE MICHELSON
Active
Individual
KATHERINE SARE MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-0499
CERTIFIED DM EDUCATOR
—
01
—
855085
COMMISS ON DIETETIC REG
—
01
—
L001646
NC BOARD DIETETICS LICENS
NC
Enumeration date
08/26/2005
Last updated
10/22/2007
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