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Individual
PATRICIA MARY CLOUGH
Active
Individual
PATRICIA MARY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001806
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010116775
—
VA
01
—
088038
OPTIMA BEHAVIOARL HEALTH
VA
01
—
10116775
VA PREMIER
VA
01
—
147507
ANTHEM BEHAVIORAL
VA
01
—
2011442
CIGNA BEHAVIORAL HEALTH
VA
01
—
2284860
FIRST HEALTH
VA
Enumeration date
02/14/2006
Last updated
12/20/2023
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