Individual
MARY A INCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150108855
IL
101Y00000X
Counselor
Primary
LSW.0009926717
CO
104100000X
Social Worker
Primary
LSW.0009926717
CO
Other
Enumeration date
03/19/2024
Last updated
06/16/2026
Update your record
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