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Individual
SHAWN MARIE DILTS
Active
Individual
SHAWN MARIE DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801068632
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995783
HEALTHPLUS
MI
01
—
0G86087
BCBS
MI
01
—
6222417
UBH
MI
01
—
SD068632
BCBS
MI
Enumeration date
09/07/2005
Last updated
01/30/2008
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