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Individual
MARIAH DAVIDSON-VADER
Active
Individual
MARIAH DAVIDSON-VADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0021358
CO
224Z00000X
Occupational Therapy Assistant
OTA.0000680
CO
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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