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Individual

MARK D LEVINE

Active
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Individual

MARK D LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27
HI
101YP2500X
Professional Counselor
2935
NC
103K00000X
Behavior Analyst
Primary
1-00-0276

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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