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Individual
MR. THOMAS RICHARD KRAEMER
Active
Individual
MR. THOMAS RICHARD KRAEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW/QMRP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802069143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802069143
SOCIAL WORKER LICENSE
MI
Enumeration date
10/13/2006
Last updated
07/08/2007
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