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Individual
ILIA MIRKIN
Active
Individual
ILIA MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
04256
RI
1041C0700X
Clinical Social Worker
117684
TX
1041C0700X
Clinical Social Worker
Primary
82847
CA
1041C0700X
Clinical Social Worker
904018416
VA
1041C0700X
Clinical Social Worker
ISW04256
MA
1041C0700X
Clinical Social Worker
SW24585
FL
Other
Enumeration date
08/18/2013
Last updated
01/05/2026
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