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Individual
LINDA A MASSA
Active
Individual
LINDA A MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW013867
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01661641
INDEPENDENCE BLUE CROSS
PA
01
—
346881000
MAGELLAN MIS #
PA
Enumeration date
05/11/2006
Last updated
03/20/2015
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