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Individual
MR. VICTOR LARUE JONES
Active
Individual
MR. VICTOR LARUE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1278H
BCBS
NC
01
—
2027300
CIGNA
NC
01
—
206756000
MAGELLAN
NC
05
—
6002160
—
NC
01
—
C5472
MEDCOST
NC
Enumeration date
01/02/2007
Last updated
12/19/2012
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