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Individual
KEVIN BLAINE SCHMIDT
Active
Individual
KEVIN BLAINE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW#12706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107688
CA
1041C0700X
Clinical Social Worker
12706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW 12706
SOCIAL WORK
FL
Enumeration date
07/20/2016
Last updated
09/13/2024
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