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Individual
MRS. LAUREL VIRGINIA STANLEY
Active
Individual
MRS. LAUREL VIRGINIA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R060193-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025419101
UNIVERA
NY
01
—
00525904001
BLUE CROSS/SHIELD
NY
01
—
230175000
MAGELLAN
NY
01
—
6290304
INDEPENDENT HEALTH
NY
Enumeration date
08/19/2005
Last updated
08/02/2010
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