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Individual
MAYRA E CROTTY
Active
Individual
MAYRA E CROTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2203712
OH
390200000X
Student in an Organized Health Care Education/Training Program
S.1700241-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271444
—
OH
Enumeration date
03/07/2018
Last updated
11/01/2023
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