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Individual
ROBERTA PRICE
Active
Individual
ROBERTA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002263
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324147
TRICARE PROVIDER #
VA
01
—
432064
ANTHEM BCBS PROVIDER #
VA
05
—
8928894
—
VA
Enumeration date
09/11/2006
Last updated
10/24/2012
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