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Individual
MRS. LELIA ANNE TRAINUM WICKLINE
Active
Individual
MRS. LELIA ANNE TRAINUM WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802905M
SENTARA
VA
01
—
1164637518
GROUP NPI NUMBER
VA
01
—
11705255
CAQH
VA
05
—
1265595680
—
VA
01
—
2159589
COMPSYCH
VA
01
—
2345972
CIGNA
VA
01
—
249731
ANTHEM
VA
01
—
404226
TRICARE
VA
Enumeration date
12/18/2006
Last updated
04/08/2024
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