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Individual
NOAH LUNDMARK
Active
Individual
NOAH LUNDMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LABA, LICSW, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2780
MA
104100000X
Social Worker
225124
MA
1041C0700X
Clinical Social Worker
Primary
000123321
MA
Other
Enumeration date
02/13/2017
Last updated
09/08/2023
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