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Individual
MRS. CONNIE MARIE MASSIE
Active
Individual
MRS. CONNIE MARIE MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CSW212800
—
CA
Enumeration date
10/31/2005
Last updated
04/07/2016
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