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Individual
MICHAEL LEE GILMAN
Active
Individual
MICHAEL LEE GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000642
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006827
—
VT
01
—
48460
BLUE CROSS BLUE SHIELD
VT
01
—
610054
MVP
VT
Enumeration date
09/20/2006
Last updated
07/09/2007
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