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Individual
MRS. MALGORZATA KEDRA
Active
Individual
MRS. MALGORZATA KEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002724
NY
1041C0700X
Clinical Social Worker
Primary
067206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002724
MENTAL HEALTH COUNSELOR
NY
01
—
067206
LICENSED MASTER SOCIAL WORKER
NY
Enumeration date
05/01/2012
Last updated
05/01/2012
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