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Individual

MARY J CORTESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6938-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13G81CO
BCBS-MN
MN
05
39769800
WI
Enumeration date
08/22/2006
Last updated
05/21/2012
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