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Individual
LYNETTE R CONNELLY
Active
Individual
LYNETTE R CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06613
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038119
VALUE OPTIONS
MD
01
—
231252
COMPSYCH
MD
01
—
2321497000
AMERIHEALTH
MD
01
—
248514
UNITED BEHAVORIAL HEALTH
MD
01
—
257613
KAISER
MD
01
—
284441
MAMSI
MD
01
—
298638-000
MAGELLAN
MD
01
—
396957
TRICARE
MD
05
—
530200500
—
MD
01
—
7983549
AETNA
MD
01
—
887526-01
CAREFIRST BCBS
MD
01
—
PVPB213077
APS HEALTHCARE
MD
01
—
T541-0004
CAREFIRST BCBS
DC
Enumeration date
08/14/2006
Last updated
02/24/2018
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