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Individual
MAUREEN BOCK
Active
Individual
MAUREEN BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
097832
NY
1041C0700X
Clinical Social Worker
Primary
089767
NY
Other
Enumeration date
10/06/2016
Last updated
12/28/2020
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