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Individual
JULIE M MISIANO
Active
Individual
JULIE M MISIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R042352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R042352
LICENSE NO
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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