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Individual
RISA E SONTZ
Active
Individual
RISA E SONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1015301
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160421000
MAGELLAN
MA
01
—
47756
FALLON
MA
01
—
718137
TUFTS
MA
01
—
P04482
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/06/2006
Last updated
07/09/2008
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