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Individual
REGINA D COON
Active
Individual
REGINA D COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0030079
OH
1041C0700X
Clinical Social Worker
Primary
I.1600623
OH
Other
Enumeration date
08/21/2012
Last updated
09/06/2016
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