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Individual
MS. MARY H GAY
Active
Individual
MS. MARY H GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003755
VALUE OPTIONS
VA
01
—
132215
MHN
VA
01
—
137760
COMPSYCH
VA
01
—
208793000
MAGELLAN
VA
01
—
3080747
BCBS
VA
05
—
8901112
—
VA
01
—
O85422
OPTIMA/SENTARA
VA
Enumeration date
07/15/2005
Last updated
11/25/2009
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