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Individual
MRS. LINDA CLAIRE MIGDOLE
Active
Individual
MRS. LINDA CLAIRE MIGDOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094958
MHN
MA
05
—
1302892
—
MA
01
—
901877
TUFTS
MA
01
—
PO4772
BLUE CROSS/BLUESHIELD
MA
Enumeration date
07/17/2006
Last updated
07/08/2007
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