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Individual
MERCEDES SAMUDIO
Active
Individual
MERCEDES SAMUDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW32387
CA
104100000X
Social Worker
ASW32387
CA
1041C0700X
Clinical Social Worker
Primary
LCS 64645
CA
Other
Enumeration date
03/02/2012
Last updated
12/02/2014
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