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Individual
ROBERT ANNON
Active
Individual
ROBERT ANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 22850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMF 49673
INTERN MARRIAGE & FAMILY
CA
01
—
LCS 22850
LICENSED SOCIAL WORKER
CA
01
—
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
07/12/2006
Last updated
03/11/2008
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