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Individual
MS. JOSEPHINE OVALLES
Active
Individual
MS. JOSEPHINE OVALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
083992
NY
1041C0700X
Clinical Social Worker
Primary
080267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03823338
—
NY
05
—
104100000X
—
NY
Enumeration date
06/02/2008
Last updated
04/20/2020
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