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Individual
MR. ABRAM RAY MINNITTE
Active
Individual
MR. ABRAM RAY MINNITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA CRIMINAL JUSTICE
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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