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Individual

MRS. PATRICIA GILLEN DOANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0097
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2134491
MAMSI
MD
01
252910-000
MAGELLAN
MD
01
354333
MHN
MD
05
409997400
MD
01
52-1336890
UBH
MD
01
5546090
AETNA
MD
01
633623
NCPPO
MD
01
F127-0003
BLUECROSSBLUESHIELD
DC
01
LVT260915801
BCBS
MD
01
PVPB220350
APS
MD
Enumeration date
01/14/2007
Last updated
04/22/2022
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