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Individual
SHIRMELL MOTLEY
Active
Individual
SHIRMELL MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0007511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000124723
ANTHEM BLUE CROSS PIN
OH
Enumeration date
06/14/2006
Last updated
06/23/2025
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