Individual
MR. EDMUND LEE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2167-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990
SECURITY HEALTH PLAN
WI
01
—
225540
MHN
—
01
—
280788
VALUEOPLTIONS
—
05
—
39571100
—
WI
01
—
62743
MULTIPLAN/WPPN
WI
01
—
P00033788
RAILROAD MEDICARE
—
01
—
W010420
CHAMPUS
WI
Enumeration date
07/07/2006
Last updated
09/09/2014
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