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Individual
CHRISTINA LOUISE VENDETTI
Active
Individual
CHRISTINA LOUISE VENDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LICSW, LCSW,
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
081146-1
NY
104100000X
Social Worker
SW133993
PA
1041C0700X
Clinical Social Worker
117479-SW-LICSW
MA
1041C0700X
Clinical Social Worker
Primary
LC50081319
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081146-1
NYS OFFICE OF THE PROFESSIONS
NY
01
—
117479-SW-LICSW
COMMONWEALTH OF MASSACHUSETTS
MA
01
—
LC50081319
DISTRICT OF COLUMBIA DOH
DC
01
—
SW133993
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
10/01/2018
Last updated
10/01/2018
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