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Individual
LORETTA V MOUNTCASTLE
Active
Individual
LORETTA V MOUNTCASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007639406
—
VA
Enumeration date
07/11/2007
Last updated
05/09/2017
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