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Individual
MR. STEPHEN JAY NAUTA
Active
Individual
MR. STEPHEN JAY NAUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7000075971
PRIORITY HEALTH ID
MI
Enumeration date
05/02/2007
Last updated
07/09/2007
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