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Individual
MISS WIENEL Y VANBROOK
Active
Individual
MISS WIENEL Y VANBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1801993
OH
104100000X
Social Worker
1801993
OH
1041C0700X
Clinical Social Worker
Primary
SC61646600
WA
Other
Enumeration date
11/26/2019
Last updated
02/11/2025
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