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Individual
EDWARD STEPHEN DICK
Active
Individual
EDWARD STEPHEN DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R027902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405869003
BLUE SHIELD OF NENY
NY
01
—
132738
VALUE OPTIONS
NY
01
—
7400918
GHI
NY
01
—
N3572
EMPIRE HEALTHCHOICE
NY
Enumeration date
12/25/2006
Last updated
08/26/2010
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