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Individual
MS. LYNNE LIST
Active
Individual
MS. LYNNE LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W. - C.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03067
MD
1041C0700X
Clinical Social Worker
30035
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118031200
—
MD
Enumeration date
02/14/2007
Last updated
02/28/2020
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