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Individual
MR. SEAN PUMPHREY
Active
Individual
MR. SEAN PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11278
BCBS PROVIDER NUMBER
NC
01
—
562165173
FED IDENTIFICATION NUMBER
—
05
—
6002359
—
NC
Enumeration date
12/26/2006
Last updated
03/01/2024
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