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Individual
REBECCA DAMON PRAGER
Active
Individual
REBECCA DAMON PRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW 11711
CA
1041C0700X
Clinical Social Worker
Primary
26242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7487
MEDICAL
CA
Enumeration date
07/13/2007
Last updated
03/17/2018
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