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Individual
MR. JOSEPH CHARLES MASTERLEO
Active
Individual
MR. JOSEPH CHARLES MASTERLEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW - DCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R021307 - 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317553
MVP HEALTHCARE
NY
01
—
5112
EXCELLUS, BLUECROSS-BLUES
NY
Enumeration date
01/14/2007
Last updated
07/08/2007
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