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Individual
MIRANDA MAY BEHNKE
Active
Individual
MIRANDA MAY BEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18736-130
WI
104100000X
Social Worker
9668-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982471046475
PREFERRED ONE
—
01
—
MB085458
BCBS OF MI
MI
Enumeration date
07/12/2006
Last updated
11/20/2019
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