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Individual
MARK R JONES
Active
Individual
MARK R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW-001690-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000641940
HIMARK PA ID#
PA
01
—
463873
VALUE OPTIONS PA ID#
PA
01
—
9P587
EMPIRE BC/BS
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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