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Individual
MRS. REVA W HORN
Active
Individual
MRS. REVA W HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001959262001
—
PA
Enumeration date
02/05/2007
Last updated
07/08/2007
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