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Individual
MS. JOAN BOWEN DIBIANCO
Active
Individual
MS. JOAN BOWEN DIBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC1, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103665
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC11147
DC
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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