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Individual

JANE B. RIFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, MSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
529
WV
1041C0700X
Clinical Social Worker
Primary
DP99454299
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011710174
BLUE CROSS/BLUE SHIELD
WV
Enumeration date
10/05/2007
Last updated
10/05/2007
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