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Individual
MR. RICHARD MARTIN WARE
Active
Individual
MR. RICHARD MARTIN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012464
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0682444000
PERSONAL CHOICE
—
05
—
236334
—
PA
01
—
5321519
AETNA
—
01
—
R07137
KEYSTONE 65
—
Enumeration date
12/29/2006
Last updated
07/08/2007
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