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Individual
SHARON B BIETSCH
Active
Individual
SHARON B BIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW122751
PA
1041C0700X
Clinical Social Worker
Primary
CW-015931
PA
Other
Enumeration date
09/27/2005
Last updated
08/04/2008
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