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Individual
MRS. LORETTA NANCY PAULSON
Active
Individual
MRS. LORETTA NANCY PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LP
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
000258-1
NY
1041C0700X
Clinical Social Worker
000589
CT
1041C0700X
Clinical Social Worker
Primary
PR015721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000589
LCSW LICENSE
CT
01
—
LICENSE #: 000258-1
PSYCHOANALYST #5623568
NY
01
—
PRO15721-1
LCSW REGISTRATION CERTIFI
NY
Enumeration date
09/14/2006
Last updated
07/25/2013
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