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Individual
MR. ROBERT DAVID CALDWELL IV
Active
Individual
MR. ROBERT DAVID CALDWELL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090400280
VA
1041C0700X
Clinical Social Worker
LC302452
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
766367ZBR9 G02714
MEDICARE PTAN
DC
01
—
766367ZBR9 G02714
MEDICARE PTAN
VA
Enumeration date
05/16/2007
Last updated
09/04/2015
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