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Individual
NIVIEN IBRAHIM
Active
Individual
NIVIEN IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127852
MEDCOST
NC
01
—
1415Y
BCBS
NC
05
—
6106317
—
NC
Enumeration date
11/14/2006
Last updated
02/09/2009
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