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Individual
SOPHIA MARIE KOWATCH
Active
Individual
SOPHIA MARIE KOWATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/11/2024
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