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Individual
MS. VICTORIA S MCCLAVE
Active
Individual
MS. VICTORIA S MCCLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002783
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726007
CAPITAL CARE
—
01
—
127404
VALVE OPTIONS
—
01
—
200567
ANTHEM BCBS
VA
01
—
214493
MHN
—
01
—
229973
MAMSI OPTIMUM CHOICE
—
01
—
283282
AMERIGROUP
VA
01
—
7374054
AETNA
VA
Enumeration date
07/17/2006
Last updated
07/08/2007
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