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Individual
MS. DEANNA FAYE SEVILLA
Active
Individual
MS. DEANNA FAYE SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS8835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050496
MANAGED HEALTH NETWORK
CA
01
—
050539-000
MAGELLAN BEHAVIORAL HEALT
CA
01
—
143672
VALUE OPTIONS
CA
01
—
60054
AETNA
CA
01
—
62-37257
USBHPC
CA
Enumeration date
09/06/2006
Last updated
07/08/2007
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