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Individual
SHANA LIN BOMBRYS
Active
Individual
SHANA LIN BOMBRYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801088484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801088484
LIC. I.D.
MI
Enumeration date
05/21/2007
Last updated
05/11/2023
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