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Individual
MS. HOLLY VAN BUREN
Active
Individual
MS. HOLLY VAN BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00420
MI
1041C0700X
Clinical Social Worker
Primary
6801090112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910448
BCBS PIN
MI
Enumeration date
08/31/2006
Last updated
08/08/2013
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