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Individual
MRS. MARY E KAUL-BLACK
Active
Individual
MRS. MARY E KAUL-BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006
CAREFIRST FEDERAL PIN DC
—
01
—
100075562001
AMERICAN PSYCH SYSTEM
—
01
—
2101170
UNITED HEALTH CARE MAMSI
—
01
—
259147000
MAGELLAN GROUP
MD
01
—
269292000
MAGELLAN PIN
MD
01
—
517251
UHC MAMSI GROUP #
—
01
—
522156095
AETNA
MD
05
—
609550001
—
MD
01
—
60956202
CAREFIRST BCBS PIN
MD
01
—
724333
NCPPO PIN
—
01
—
LM49EA
CAREFIRST BCBS GROUP
MD
01
—
R968
CARE1ST FEDERAL GROUP DC
—
Enumeration date
11/08/2006
Last updated
05/06/2021
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