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Individual
STEPHANIE N DCRUZ
Active
Individual
STEPHANIE N DCRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH61132321
WA
101YM0800X
Mental Health Counselor
MC61035568
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2124555
—
WA
Enumeration date
01/09/2019
Last updated
06/08/2021
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