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Individual
JOSEPH SURACE
Active
Individual
JOSEPH SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1101594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378557
—
OH
Enumeration date
07/07/2014
Last updated
11/25/2019
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