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Individual
SOFIA ELIZABETH JUNCAJ
Active
Individual
SOFIA ELIZABETH JUNCAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
077435
NY
1041C0700X
Clinical Social Worker
Primary
6801093727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
09/10/2007
Last updated
06/27/2016
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