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Individual
JUDITH SHEWACH
Active
Individual
JUDITH SHEWACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801064538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M09230
MEDICARE
MI
Enumeration date
11/20/2009
Last updated
11/20/2009
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