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Individual
MS. LAUREEN ANNE WIERENGA
Active
Individual
MS. LAUREEN ANNE WIERENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
970217
CA
Other
Enumeration date
02/14/2007
Last updated
06/29/2011
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