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Individual
REBECCA LINDGREN
Active
Individual
REBECCA LINDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851107039
MI
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
MI
Enumeration date
06/19/2018
Last updated
09/09/2021
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