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Individual
SUSAN LORENA SHADWICK
Active
Individual
SUSAN LORENA SHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT-S, LMFT, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.1700016
OH
106H00000X
Marriage & Family Therapist
LMFT99844
CA
221700000X
Art Therapist
ART.24000031
OH
Other
Enumeration date
08/20/2014
Last updated
11/01/2024
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