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Individual
MRS. MARJORIE JEAN BRODY
Active
Individual
MRS. MARJORIE JEAN BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS0382
MHN
—
01
—
ZZZ14330Z
BLUE SHIELD SAINT BARNABU
CA
Enumeration date
04/04/2007
Last updated
07/08/2007
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