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Individual
ELIZABETH F HALTON
Active
Individual
ELIZABETH F HALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00032265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032265
—
NY
01
—
00400166001
MEDICARE SENIOR BLUE
—
01
—
040426031843
FIDELIS
—
01
—
11586598
CAQH
—
01
—
26749
BLUESHIELD
—
01
—
53088
MVP
—
01
—
N91681
BLUECROSS BLUESHIELD
—
01
—
P00817783
MEDICARE RAILROAD
—
Enumeration date
07/14/2006
Last updated
05/28/2010
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