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Individual
PAUL ALIE
Active
Individual
PAUL ALIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103027
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02034
BCBSMA PROVIDER NUMBER
—
Enumeration date
10/21/2005
Last updated
09/29/2017
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