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Individual
IVETTE M ARANGO
Active
Individual
IVETTE M ARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW, CRAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2481
MO
1041C0700X
Clinical Social Worker
2000174407
MO
1041C0700X
Clinical Social Worker
Primary
2273
KS
Other
Enumeration date
01/08/2008
Last updated
02/16/2021
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