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Individual
MR. PHOENIX XAVIER SCHMITZ
Active
Individual
MR. PHOENIX XAVIER SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 20272
CA
1041C0700X
Clinical Social Worker
Primary
18121
MN
1041C0700X
Clinical Social Worker
6834
OR
1041C0700X
Clinical Social Worker
LW60622688
WA
Other
Enumeration date
08/28/2007
Last updated
03/17/2018
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