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Individual
MRS. MARCIA BEARD JAUDON
Active
Individual
MRS. MARCIA BEARD JAUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004886
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008931305
—
VA
01
—
273010000
MAGELLAN
VA
01
—
434471
BLUE CROSS BLUE SHIELD
VA
01
—
517355
VALUE OPTIONS
VA
01
—
7454323
AETNA
VA
01
—
801058
SOUTHERN HEALTH
VA
Enumeration date
12/01/2005
Last updated
01/27/2010
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