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Individual
RODERICK LEE LIVERMAN
Active
Individual
RODERICK LEE LIVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049571-000
MAGELLAN
VA
01
—
110318
ANTHEM
VA
01
—
110573
ANTHEM
VA
01
—
2169335
MAMSI
VA
01
—
4945131
VIRGINIA PREMIER
VA
01
—
O89416
OPTIMA
VA
Enumeration date
02/13/2007
Last updated
09/26/2008
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