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Individual
MARIAH CARROLL HALLBILSBACK
Active
Individual
MARIAH CARROLL HALLBILSBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
107600-01
NY
1041C0700X
Clinical Social Worker
Primary
095251-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095251-01
LCSW
NY
01
—
107600-01
LMSW
NY
Enumeration date
09/03/2018
Last updated
09/28/2023
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