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Individual
MS. JOANNE TAUB
Active
Individual
MS. JOANNE TAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1029117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9373299
AETNA ID NUMBER
—
01
—
PO8648
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2006
Last updated
09/22/2011
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