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Individual
MICHAEL R BABCOCK
Active
Individual
MICHAEL R BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
04/24/2018
Last updated
06/28/2018
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