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Individual
MICHAEL PITHIS
Active
Individual
MICHAEL PITHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
120769
MA
1041C0700X
Clinical Social Worker
Primary
120769
MA
Other
Enumeration date
01/23/2018
Last updated
03/29/2023
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