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Individual
MADELAINE E VAN EPP
Active
Individual
MADELAINE E VAN EPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
006970
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57126577
—
NM
Enumeration date
11/30/2005
Last updated
09/12/2012
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