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Individual
MS. DEBORAH MCCOY
Active
Individual
MS. DEBORAH MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS17264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050012
MHN PROVIDER ID
CA
01
—
162298
VALUE OPTIONS PROVIDER ID
CA
Enumeration date
09/02/2006
Last updated
12/05/2020
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