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Individual
LISA HAMBURG
Active
Individual
LISA HAMBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801063741
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
02/13/2020
Last updated
02/13/2020
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