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Individual
MRS. LINDA R. MINOR
Active
Individual
MRS. LINDA R. MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089122
SENTARA-VETRI
VA
01
—
152672
MHN
VA
01
—
291952
BLUE CROSS BLUE SHIELD
VA
01
—
4763-0001
CARE FIRST BCBS
VA
01
—
512334
NCPPO
VA
05
—
89-1497-4
—
VA
Enumeration date
07/25/2006
Last updated
07/08/2007
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