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Individual
ROBERT C KINNEAR
Active
Individual
ROBERT C KINNEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001098A
IN
1041C0700X
Clinical Social Worker
Primary
34001642A
IN
106H00000X
Marriage & Family Therapist
35000874A
IN
163W00000X
Registered Nurse
28169390A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042460
—
IN
Enumeration date
06/16/2006
Last updated
04/05/2016
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