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Individual
THERESE KOVACH
Active
Individual
THERESE KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030120
FALLON AND BEACON
MA
01
—
1301433
CIGNA
MA
01
—
297729000
MAGELLAN
MA
01
—
WO5768
BCAND BS
MA
Enumeration date
02/26/2007
Last updated
07/08/2007
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