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Individual
MS. JACQUELINE I WERT
Active
Individual
MS. JACQUELINE I WERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-005499
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632633
BLUE SHIELD
IL
01
—
197050
COMPSYCH
—
01
—
298234-000
MAGELLAN BEHAVIORAL HEALT
IL
01
—
421511
MHN-A HEALTH NET COMPANY
—
01
—
457938
VALUE OPTIONS
—
01
—
6235409
UNITED BEHAVIORAL HEALTH
—
01
—
7458520
AETNA
—
Enumeration date
09/22/2006
Last updated
03/29/2010
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