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Individual
MS. DIANA L. MIDGLEY
Active
Individual
MS. DIANA L. MIDGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801070662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38335
PPOM
MI
01
—
457611
VALUEOPTIONS
MI
01
—
7066333
AETNA
MI
01
—
80-0-89-7472-0
BLUE CARE NETWORK
MI
01
—
8008974720
BLUE CROSS/BLUE SHIELD
MI
01
—
87726
UNITED HEALTH CARE
MI
01
—
IP 528494
MAGELLAN
MI
Enumeration date
03/08/2006
Last updated
01/30/2015
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