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Individual
ROGER GUNTHER
Active
Individual
ROGER GUNTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048669
VALUEOPTIONS
—
01
—
06032156
BCBS ILLINOIS
IL
01
—
215100
BCBS OF MO - HMO
MO
01
—
772111
HEALTHLINK HMO & PPO
—
Enumeration date
03/20/2006
Last updated
12/24/2021
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