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Individual
MS. DAWN MARIE CANTARA
Active
Individual
MS. DAWN MARIE CANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1336AD
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S59547404
DRIVER'S LICENSE
MA
Enumeration date
08/29/2011
Last updated
08/29/2011
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