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Individual

MRS. BARBARA A BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0402091
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067133
VALUE OPTIONS
01
P711450
OXFORD
01
Y037655
CHAMPUS TRICARE
Enumeration date
02/23/2007
Last updated
07/08/2007
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