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Individual
REGINA FRANCINE SMITH
Active
Individual
REGINA FRANCINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002365
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086375
SENTARA
VA
01
—
106616
ANTHEM
VA
01
—
117954
ANTHEM
VA
05
—
4945280
—
VA
Enumeration date
07/06/2006
Last updated
07/08/2007
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