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Individual
SUMMER NICOLE DE LA CRUZ
Active
Individual
SUMMER NICOLE DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009450
VA
1041C0700X
Clinical Social Worker
Primary
19597
MD
1041C0700X
Clinical Social Worker
LC50079433
DC
Other
Enumeration date
09/26/2016
Last updated
03/25/2025
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