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Individual
MRS. SHELBY GLASS DODD
Active
Individual
MRS. SHELBY GLASS DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LIC PROF COUNS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085147
SENTORA
VA
01
—
098104
ANTHEM BLUE CROSS
VA
05
—
5401429
—
VA
Enumeration date
11/21/2006
Last updated
07/08/2007
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