Individual
MS. MARILYN T BRONZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4088
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016598
ANTHEM
ME
01
—
1032675
CIGNA
ME
01
—
5042263
AETNA
ME
01
—
81669
UNITED BEHAVIORAL HEALTH
ME
Enumeration date
01/06/2008
Last updated
04/09/2009
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