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Individual
MIMON YEHUDA MAMANE
Active
Individual
MIMON YEHUDA MAMANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102400-1
NY
1041C0700X
Clinical Social Worker
Primary
091356
NY
1041C0700X
Clinical Social Worker
CW021949
PA
Other
Enumeration date
02/12/2018
Last updated
04/26/2023
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