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Individual
LAUREN CONZAMAN
Active
Individual
LAUREN CONZAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW022366
STATE LICENSE
PA
01
—
SW012828L
STATE LICENSE
PA
Enumeration date
08/21/2018
Last updated
01/03/2022
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