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Individual
MINDY S KITTERMAN
Active
Individual
MINDY S KITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 133
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 1575
KS
1041C0700X
Clinical Social Worker
MO 2010033353
MO
Other
Enumeration date
08/17/2007
Last updated
04/03/2012
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