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Individual
ANDREA MEDEIROS
Active
Individual
ANDREA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00197400
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
44SL05865300
NJ
Other
Enumeration date
04/08/2013
Last updated
06/21/2018
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