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Individual

MS. CYNTHIA S CORACCIO

Active
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Individual

MS. CYNTHIA S CORACCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107452
MA
1041C0700X
Clinical Social Worker
Primary
389
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1015980
BEACON FALLON GROUP NUMBE
01
103287
MHN
01
1036707
CIGNA BEHAVIORAL HEALTH
01
20514928
UNITED HEALTH CARE GROUP
05
30420969
NH
01
31447439
TRICARE
01
3144743901
PACIFICARE
01
334686
MAGELLAN GROUP NUMBER
Enumeration date
01/09/2006
Last updated
07/08/2007
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