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Individual

JULIE A STAUB

Active
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Individual

JULIE A STAUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CW007424L
PA
1041C0700X
Clinical Social Worker
Primary
CW007424L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01109601
CAPITAL BLUE CROSS
PA
01
129586
VALUE OPTIONS
PA
01
2022462
CIGNA BEHAVIORAL HEALTH
PA
01
230725000
MAGELLAN
PA
01
274558
MAMSI
PA
01
687124
BC/BS OF MD CARE FIRST
PA
01
734554
PABS (FEP ONLY)
PA
01
800009090
MEDICARE RAILROAD
PA
Enumeration date
06/16/2006
Last updated
09/22/2014
Update your record

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