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Individual
KATHEY JEAN LARGER
Active
Individual
KATHEY JEAN LARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12992
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346646
MANAGED HEALTH NETWORK
MD
01
—
499188
VO-MHA
MD
01
—
517251
UNITED BEHAVIORAL HEALTH
MD
01
—
522156095
TRICARE
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST BCBS
MD
Enumeration date
07/29/2006
Last updated
07/01/2021
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