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Individual
LYNN EDGINGTON
Active
Individual
LYNN EDGINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801061250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050615304
TAX IDENTIFICATION NUMBER
—
01
—
270391
COMPSYCH
—
01
—
7105236
AETNA
—
01
—
8008974940
BCBS ID NUMBER
MI
Enumeration date
01/19/2007
Last updated
04/05/2010
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