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Individual
MRS. MARY HOEKSTRA
Active
Individual
MRS. MARY HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW CAAC ACSW BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27898
ABECSW
MI
01
—
CERT 200657
MCBAP
MI
Enumeration date
11/30/2006
Last updated
11/06/2009
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