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Individual
MYRIAM ANN SPADAFORA
Active
Individual
MYRIAM ANN SPADAFORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
063174-1
NY
1041C0700X
Clinical Social Worker
Primary
070333
NY
1041C0700X
Clinical Social Worker
099255233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2725672
OXFORD
NY
Enumeration date
12/05/2006
Last updated
05/25/2023
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