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Individual

ALAN J O'MALLEY-LAURSEN

Active
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Individual

ALAN J O'MALLEY-LAURSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01102
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118033
UCARE
MN
01
62-20362
UNITED BEHAVIORAL HEALTH
MN
01
68543OM
BLUE CROSS BLUE SHIELD
MN
01
HP20275
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
09/05/2007
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