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Individual
MARILYN PAGETT
Active
Individual
MARILYN PAGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136F1
BCBSNC GRP # 015HF
NC
05
—
6002987
—
NC
Enumeration date
06/03/2006
Last updated
07/09/2007
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