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Individual
MIRANDA ERDMAN
Active
Individual
MIRANDA ERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172621
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323757
—
OH
Enumeration date
09/04/2018
Last updated
04/08/2022
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