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Individual
MAREIKE TENBERGE BUDO
Active
Individual
MAREIKE TENBERGE BUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC. ESMHL. CTRI. RM
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8448
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881909042
—
LA
Enumeration date
02/23/2021
Last updated
02/23/2021
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