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Individual
MARILYN WRAY
Active
Individual
MARILYN WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
018820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000524117007
BLUE CROSS & BLUE SHIELD
NY
01
—
00053094001
UNIVERA
NY
01
—
6208289
INDEPENDENT HEALTH
NY
01
—
7482648
VALUE OPTIONS/GHI
NY
Enumeration date
07/26/2006
Last updated
04/09/2008
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