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Individual
MARY KATHLEEN BROGAN
Active
Individual
MARY KATHLEEN BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142050
CIGNA
—
01
—
Z032B
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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