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Individual
MARK REID JR.
Active
Individual
MARK REID JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801103615
MI
104100000X
Social Worker
—
—
Other
Enumeration date
11/28/2018
Last updated
12/11/2018
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