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Individual
JEANNE VANBUREN
Active
Individual
JEANNE VANBUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
039464-1
NY
164W00000X
Licensed Practical Nurse
Primary
079898-1
NY
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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