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Individual

MRS. MARIEL SEVESES MOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LISW-CP

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
11951
LA
1041C0700X
Clinical Social Worker
0904010522
VA
1041C0700X
Clinical Social Worker
Primary
13320
SC

Other

Enumeration date
07/11/2014
Last updated
02/17/2022
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