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Individual
LATANYA BIZOR
Active
Individual
LATANYA BIZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
009303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008063915
—
CT
Enumeration date
03/15/2013
Last updated
04/25/2017
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