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Individual
MARY I. BAZIE
Active
Individual
MARY I. BAZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.0700319
OH
104100000X
Social Worker
Primary
I.0700319-SUPV
OH
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217599
—
OH
Enumeration date
10/27/2011
Last updated
03/07/2024
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