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Individual
MS. JOANNE TERRY
Active
Individual
MS. JOANNE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
6801016192
MI
1041C0700X
Clinical Social Worker
Primary
6801016192
MI
251S00000X
Community/Behavioral Health Agency
6801016192
MI
283Q00000X
Psychiatric Hospital
6801016192
MI
Other
Enumeration date
01/01/2010
Last updated
10/16/2010
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