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Individual

CHRISTOPHER ANDREW GARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-31474
ID
1041C0700X
Clinical Social Worker
Primary
LCSW - 34818
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306132493
ID
Enumeration date
06/27/2011
Last updated
06/17/2015
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