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Individual
REBECCA HALICK
Active
Individual
REBECCA HALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW12671
STATE LICENSE
FL
Enumeration date
05/25/2016
Last updated
05/25/2016
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