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Individual
MYIA MAKUPSON
Active
Individual
MYIA MAKUPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1901884
OH
1041C0700X
Clinical Social Worker
S.1502366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S.1502366
—
OH
Enumeration date
09/21/2018
Last updated
11/24/2021
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