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Individual
PENNY LUEBS
Active
Individual
PENNY LUEBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-01093
MI
1041C0700X
Clinical Social Worker
Primary
6801081139
MI
1041S0200X
School Social Worker
0000
MI
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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