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Individual
MARY JO MEYER
Active
Individual
MARY JO MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110305
ANTHEM
VA
01
—
110809
ANTHEM
VA
01
—
2169331
MAMSI
VA
01
—
26314-7000
MAGELLAN
VA
01
—
4945131
VIRGINIA PREMIER
VA
01
—
O85707
OPTIMA
VA
Enumeration date
03/26/2007
Last updated
09/26/2008
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