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Individual
MRS. JULIE BIRNER
Active
Individual
MRS. JULIE BIRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSWPIP,QMHP,LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
9703943
SD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
6602
SD
Other
Enumeration date
07/08/2015
Last updated
07/12/2024
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