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Individual
KEVIN MARAIZU
Active
Individual
KEVIN MARAIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.015524
IL
101YP2500X
Professional Counselor
Primary
180.015490
IL
Other
Enumeration date
12/30/2020
Last updated
09/25/2023
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