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Individual
REIJA HUCULAK
Active
Individual
REIJA HUCULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.141221
OH
1041C0700X
Clinical Social Worker
Primary
I.1700341
OH
Other
Enumeration date
02/15/2015
Last updated
05/11/2017
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