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Individual
MS. LAURIE M. CANEVALI
Active
Individual
MS. LAURIE M. CANEVALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145019
MAMSI UNITED HEALTH
MD
01
—
7895759
AETNA
MD
01
—
9403766
PHCS
MD
01
—
F1270029
BLUE CROSS BLUE SHIELD
DC
01
—
LV12-647570-01
BLUE CROSS BLUE SHIELD
MD
Enumeration date
04/12/2007
Last updated
07/08/2007
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