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Individual
DIANE OSBORNE
Active
Individual
DIANE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904003453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063
CAREFIRST DC
DC
01
—
119079
ANTHEM
VA
01
—
2160262
MAMSI
—
01
—
231593-000
MAGELLAN
VA
01
—
513449
NCPPO
VA
01
—
7286105
AETNA
—
Enumeration date
07/18/2005
Last updated
11/10/2011
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