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Individual

MARY ZIMMERMAN

Active
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Individual

MARY ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
562
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001565100
CHP
MO
01
135587
VALUE OPTIONS
MO
01
16068017
BCBSKC
MO
01
238878000
MAGELLAN
MO
01
4403292
AETNA
MO
01
46809
CIGNA
MO
01
6380108
UNITED HEALTCARE
MO
01
64159
DEFINITY
MO
Enumeration date
06/22/2006
Last updated
07/18/2018
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