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Individual

LYDDIA GETAWERU

Active
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Individual

LYDDIA GETAWERU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, LNHA, ALM

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH6339
AZ
323P00000X
Psychiatric Residential Treatment Facility
BH6339
AZ
347E00000X
Transportation Broker
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BH6339
AZ
Enumeration date
08/05/2020
Last updated
03/09/2021
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