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Individual
JACOB LUNGER
Active
Individual
JACOB LUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090301
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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