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Individual
LINDA JANE BRAY
Active
Individual
LINDA JANE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01472600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195910
MHN
—
01
—
2321561000
AMERIHEALTH
—
Enumeration date
12/19/2005
Last updated
07/08/2007
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