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Individual
REBECCA MARIE VANDUZER
Active
Individual
REBECCA MARIE VANDUZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30884
NY
101YM0800X
Mental Health Counselor
Primary
010164
NY
101YM0800X
Mental Health Counselor
P11384
NY
Other
Enumeration date
09/27/2018
Last updated
05/09/2023
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