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Individual
STEPHEN H DAVIE
Active
Individual
STEPHEN H DAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR012566-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF NE NY
000403428001
NY
01
—
FIDELIS
050721000016
NY
01
—
MVP
377615
NY
01
—
TRI-CARE
12034176
NY
01
—
VALUE OPTIONS
476662
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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