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Individual
LORI J BRINKLEY
Active
Individual
LORI J BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004200
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015PF
BCBS GROUP #
NC
01
—
13191
BCBS INDIVIDUAL PROV #
NC
05
—
6002556
—
NC
Enumeration date
07/19/2006
Last updated
07/09/2007
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