Individual
MS. SERAH W MUIRURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CRC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
MA
Enumeration date
06/30/2010
Last updated
06/30/2010
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