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Individual
IRENE SHERLOCK
Active
Individual
IRENE SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001524
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123840
—
CT
05
—
008017939
—
CT
05
—
008031626
—
CT
Enumeration date
06/13/2012
Last updated
06/13/2012
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