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Individual

CARIN DEE VENDITTA

Active
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Individual

CARIN DEE VENDITTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015996
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000395600
MD
01
121744
JOHN HOPKINS HEALTHCARE
MD
01
2087583
HIGHMARK
PA
01
229918-000
MAGELLAN MIS
PA
01
3696426000
IBC-MHS
PA
01
614442-01
BCBS
MD
01
9550244
AETNA
PA
01
PHCS 2235157
PHCS
MD
Enumeration date
07/30/2006
Last updated
11/29/2010
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