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Individual

MS. LAURA C CHASE

Active
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Individual

MS. LAURA C CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005047
VA
1041C0700X
Clinical Social Worker
Primary
SW11071
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008948267
VA
01
175575
ANTHEM INS.
VA
01
250040
COMPSYCH CORP.
IL
01
349561
MHN INS.
VA
01
3541446
AETNA HEALTH MGMT
TX
01
727392000
MAGELLAN INS.
MD
01
9262550
PHCS
VA
Enumeration date
07/26/2006
Last updated
03/22/2013
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