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Individual
MR. SIMON B. PAQUETTE
Active
Individual
MR. SIMON B. PAQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2650
OR
1041C0700X
Clinical Social Worker
LW 60041917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60041917
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
WA
Enumeration date
10/03/2005
Last updated
05/31/2012
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