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Individual
MR. ROBERT JUAREZ
Active
Individual
MR. ROBERT JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTGA000438 B000602
SAGA
CT
01
—
CTGA000438 B810006
SAGA
CT
Enumeration date
01/31/2007
Last updated
07/09/2007
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