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Individual

MS. BRIDGET VAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106554-01
NY
2255A2300X
Athletic Trainer
106554-01
NY

Other

Enumeration date
08/27/2019
Last updated
10/18/2019
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