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Individual
VIRGINIA F. MAHAN
Active
Individual
VIRGINIA F. MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S78Y
BCBS
TX
Enumeration date
10/16/2006
Last updated
07/08/2007
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