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Individual
LIEU KNIPPING THAI
Active
Individual
LIEU KNIPPING THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105336
STATE LICENSE
NY
Enumeration date
03/04/2019
Last updated
03/04/2019
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