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Individual
SHAYNE V ESTES
Active
Individual
SHAYNE V ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117877
ANTHEM GCH-LOC
VA
01
—
256451
MAMSI
VA
01
—
271287
HEALTHKEEPERS - POWH
VA
01
—
A932447
VALUE OPTIONS
VA
01
—
O86126
SENTARA
VA
Enumeration date
05/27/2006
Last updated
12/11/2007
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