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Individual
MS. UNKNOWN KRISHNABAI
Active
Individual
MS. UNKNOWN KRISHNABAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009650
HARVARD PILGRIM
—
05
—
1857622
—
MA
01
—
P07839
BCBS
MA
Enumeration date
12/29/2006
Last updated
01/12/2011
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