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Individual
MRS. ELIZABETH M EARLES
Active
Individual
MRS. ELIZABETH M EARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.MA.MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
453
WV
1041C0700X
Clinical Social Worker
CP00454023
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720450
BLUE CROSS/BLUE SHEILD
WV
Enumeration date
02/13/2007
Last updated
10/22/2008
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