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Individual
MS. VILMA STADE
Active
Individual
MS. VILMA STADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R032205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7400344
VALUE OPTIONS
NY
01
—
NB578
BCBS
NY
01
—
P472527
OXFORD
NY
Enumeration date
12/08/2006
Last updated
07/08/2007
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