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Individual
MICHELLE MAGUIRE
Active
Individual
MICHELLE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007161
NC
1041C0700X
Clinical Social Worker
SW005563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498740109
—
MO
Enumeration date
03/09/2006
Last updated
12/11/2012
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