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Individual

MRS. GENEVA OSAWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000001
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202580
MEDICARE-TYPE UNSPECIFIED
IN
01
9001137
BLUE CROSS & SHIELD IL
IL
Enumeration date
09/04/2007
Last updated
09/04/2007
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