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Individual
JANYCE G KITTLER
Active
Individual
JANYCE G KITTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1030336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030336
LICSW
MA
01
—
11522997
CAQH ID #
—
01
—
2237294
FIRST HEALTH ID #
—
01
—
494997
TUFTS HEALTH PLAN PROV ID
MA
01
—
738
LADC 1 LIC ALC & DRUG COU
MA
01
—
HP2178814
HARVARD PILGRIM PROV ID #
MA
01
—
PO8560
BLUE CROSS BLUE SHIELD PR
MA
Enumeration date
02/15/2007
Last updated
07/08/2007
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