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Individual
FERN DEBRA SIMON
Active
Individual
FERN DEBRA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R045230-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225747586
UNITED BEHAVIORAL HEALTH
NY
01
—
290-902000
MAGELLAN
NY
01
—
7373255
AETNA
NY
01
—
7481514
GHI
NY
01
—
A349806
VALUE OPTIONS
NY
01
—
N7B721
BLUE CROSS BLUE SHIELD
NY
01
—
P2063316
OXFORD
NY
Enumeration date
03/05/2007
Last updated
11/17/2015
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