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Individual
MICHELLE PHUNG
Active
Individual
MICHELLE PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09926588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09926588
LICENSED CLINICAL SOCIAL WORKER
CO
Enumeration date
05/06/2020
Last updated
05/06/2020
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