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Individual
MS. LYNN PAXTON BURROUGH
Active
Individual
MS. LYNN PAXTON BURROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006318
NC
1041C0700X
Clinical Social Worker
PR015440 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004622005
AETNA
NY
01
—
0062148003
GHI
NY
01
—
117686
TRICARE
NY
01
—
6257216
UNITED HEALTH CARE
NY
01
—
91443000
MAGELLAN BEHAVIORAL HEALT
NY
01
—
P982279
OXFORD HEALTH PLANS
NY
Enumeration date
06/24/2006
Last updated
04/15/2009
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