Individual
MR. MICHAEL EDWARD HALL OWENS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW-10608I
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707017
—
VT
Enumeration date
05/26/2006
Last updated
12/22/2022
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