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Individual
MR. MICHAEL P FLYNN
Active
Individual
MR. MICHAEL P FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008908559
—
VA
05
—
008936536
—
VA
01
—
031984
VALUE OPTIONS
VA
01
—
050502
BCBS
VA
01
—
205537
MHN
VA
01
—
222422
BCBS
VA
01
—
245957000
MAGELLAN BEHAVIORAL HEALTH
VA
01
—
O85750
OPTIMA
VA
Enumeration date
10/24/2005
Last updated
05/26/2008
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