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Individual
MIKE ALLEN
Active
Individual
MIKE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
04/25/2023
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