Individual
MR. BRUCE A CATALANO
Active
Individual
MR. BRUCE A CATALANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0000685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457523
—
OH
01
—
341300581048
CARESOURCE
OH
01
—
341300581BC
SUMMA
OH
01
—
745398
CENPATICO
OH
01
—
N373127
WELLCARE
OH
Enumeration date
07/07/2006
Last updated
12/21/2011
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