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Individual
MS. KERIANNE DYER
Active
Individual
MS. KERIANNE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7685351-3501
UT
1041C0700X
Clinical Social Worker
7685351-3502-2010093
UT
Other
Enumeration date
05/06/2011
Last updated
10/19/2015
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