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Individual
MS. IRENE SHANE KLOTZ
Active
Individual
MS. IRENE SHANE KLOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW CPT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
049540-1
NY
103K00000X
Behavior Analyst
049540-1
NY
104100000X
Social Worker
Primary
049540-1
NY
171M00000X
Case Manager/Care Coordinator
049540-1
NY
172V00000X
Community Health Worker
049540-1
NY
174400000X
Specialist
049540-1
NY
174H00000X
Health Educator
049540-1
NY
208D00000X
General Practice Physician
049540-1
NY
246RP1900X
Phlebotomy Technician
049540-1
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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