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Individual
MS. M ANNETTE SAMULOWITZ
Active
Individual
MS. M ANNETTE SAMULOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004439
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004439CT05
ANTHEM HAMDEN
—
01
—
140004439CT07
ANTHEM SOUTHBURY
—
01
—
158189
VALUE OPTIONS
—
01
—
237349
HEALTHNET
—
01
—
24553
CIGNA
—
01
—
87726
UNITED BEHAVIORAL
—
Enumeration date
01/18/2006
Last updated
07/08/2007
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