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Individual

RAI AMETHYST EURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185000
OH
104100000X
Social Worker
S.2202639-TRNE
OH
104100000X
Social Worker
S.2410293
OH
1041C0700X
Clinical Social Worker
Primary
CSW04206
RI

Other

Enumeration date
02/04/2007
Last updated
09/02/2025
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