Individual
MRS. KATHY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389254
ANTHEM
IN
01
—
2328867
CIGNA
IN
Enumeration date
10/14/2005
Last updated
02/11/2008
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