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Individual
STAR JUNE
Active
Individual
STAR JUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170834
OH
104100000X
Social Worker
S.2005160
OH
1041C0700X
Clinical Social Worker
Primary
I.2405319
OH
Other
Enumeration date
03/16/2020
Last updated
04/10/2024
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