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Individual
MRS. MARY CHIRDON FRONTINO
Active
Individual
MRS. MARY CHIRDON FRONTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001325220
HIGHMARK PROVIDER ID
PA
01
—
102390641 0002
CBHNP, MEDICAID
PA
01
—
110678YB7L
MEDICARE
PA
01
—
2103209
CIGNA
PA
01
—
251214495
UNITED BEHAVIORAL HEALTH
PA
01
—
274889000
MEGELLAN
PA
01
—
520337
VALUE OPTIONS
PA
01
—
7826281
AETNA
PA
Enumeration date
02/22/2006
Last updated
12/16/2010
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