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Individual
JAMES OSTENDARP
Active
Individual
JAMES OSTENDARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
774
MA
1041C0700X
Clinical Social Worker
774
MA
Other
Enumeration date
04/12/2007
Last updated
01/15/2008
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