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Individual
SUSAN S DRAKE
Active
Individual
SUSAN S DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00060
ANTHEM
CT
01
—
01260
MAGELLAN
MO
01
—
06111
OXFORD
CT
01
—
22771
MHN
KY
01
—
38520
TRICARE
SC
01
—
60054
AETNA INSURANCE
TX
01
—
87726
UNITED BEHAVIORAL
UT
01
—
SX071
CIGNA BEHAVIORAL
MN
Enumeration date
02/02/2007
Last updated
07/08/2007
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