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Individual
SANDRA L UNTIED
Active
Individual
SANDRA L UNTIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I7480
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN100389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218890
ANTHEM PIN
OH
01
—
2032248
CIGNA BH PIN
OH
01
—
218931
TRICARE/MHN PIN
OH
01
—
246101
MOUNT CARMEL PIN
OH
01
—
7602165
AETNA PIN
OH
01
—
9071405
PRIVATE HLTHCARE SYS PIN
OH
01
—
Y555056
THE HEALTH PLAN PIN
OH
Enumeration date
03/09/2006
Last updated
09/11/2025
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