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Individual
PATRICIA ANN DERSHEM
Active
Individual
PATRICIA ANN DERSHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW008439L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062223S68
MEDICARE
PA
01
—
1617662
BC/BS HIGHMARK
PA
01
—
2117726
CIGNA
PA
01
—
474483
VALUE OPTIONS
PA
01
—
817938
FIRST PRIORITY HEALTH
PA
Enumeration date
09/05/2006
Last updated
07/08/2007
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