Individual
MS. REBECCA BERLIN WAXMAN
Active
Individual
MS. REBECCA BERLIN WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50080058
DC
1041C0700X
Clinical Social Worker
Primary
LC50080461
DC
Other
Enumeration date
06/02/2015
Last updated
08/10/2015
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