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Individual
MRS. BARBARA ANN SCOVILLE
Active
Individual
MRS. BARBARA ANN SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4927001-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107018310101
INTERMOUNTAIN HEALTHCARE
UT
05
—
49270013501
—
UT
01
—
802653
DESERET MUTUAL
UT
01
—
942938348003
CHAMPUS
UT
01
—
942938348BS1
EDUCATORS MUTUAL
UT
01
—
QO7203
ICAR
UT
Enumeration date
01/19/2006
Last updated
07/08/2007
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