Individual
LINDA MARIE PAVIC
Active
Individual
LINDA MARIE PAVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100756
HEALTH PARTNERS
MN
01
—
305L8PA
BLUE CROSS BLUE SHIELD
MN
01
—
62-54231
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
03/23/2007
Last updated
07/08/2007
Update your record
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