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Individual
PHILIP CERRATO
Active
Individual
PHILIP CERRATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904006165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102451
BLUE CROSS BLUE SHIELD
VA
01
—
46-4404131
OTHER (NON-MEDICARE)
VA
Enumeration date
10/17/2006
Last updated
12/10/2018
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