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Individual
LINDA O AVERY
Active
Individual
LINDA O AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106344
—
NC
Enumeration date
07/10/2006
Last updated
07/08/2007
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