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Individual
JOHN KMETZ
Active
Individual
JOHN KMETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
227401
MA
1041C0700X
Clinical Social Worker
Primary
227401
MA
Other
Enumeration date
04/01/2022
Last updated
03/26/2024
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