Individual
REGINA E VANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3859
OR
1041C0700X
Clinical Social Worker
L3859
OR
Other
Enumeration date
02/19/2007
Last updated
08/10/2020
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