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Individual
WILLIAM T LYNE
Active
Individual
WILLIAM T LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152217
BEHAVIORAL HEALTHCARE
MN
05
—
400057900
—
MN
01
—
62-68816
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
07/18/2006
Last updated
08/03/2020
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