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Individual
RENITHA IRVIN
Active
Individual
RENITHA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-8779
MT
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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