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Individual
MS. JOAN ELAINE WOMACK
Active
Individual
MS. JOAN ELAINE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S16461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013374306-00
MAGELLAN BEHAVIORAL HEALTH, HUMANA TEXAS/MEDICARE
TX
05
—
0639809-01
—
TX
01
—
JW0873770
FINGER LAKES BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/25/2008
Last updated
11/25/2008
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