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Individual
MR. GEORGE L PAULEY
Active
Individual
MR. GEORGE L PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-05084
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
01/08/2007
Last updated
07/08/2007
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