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Individual
ELLEN C. WEBER
Active
Individual
ELLEN C. WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,DCSW,BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW R016056-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095726
VALUE OPTIONS
NY
01
—
N5X881
BLUE CROSSBLUE SHIELD
NY
Enumeration date
01/24/2007
Last updated
07/08/2007
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