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Individual
MARY H. RIVERA-BRAHM
Active
Individual
MARY H. RIVERA-BRAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC-S LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
965683
OH
101YM0800X
Mental Health Counselor
Primary
180006589
IL
104100000X
Social Worker
S-0021092
OH
Other
Enumeration date
07/12/2006
Last updated
02/28/2014
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