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Individual
MARY T DEERING
Active
Individual
MARY T DEERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27761
IL
1041C0700X
Clinical Social Worker
Primary
149007398
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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