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Individual
JOHANNA KORBY
Active
Individual
JOHANNA KORBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
004770-1
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
004770-1
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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