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Individual
SUSAN GIBSON MYERS
Active
Individual
SUSAN GIBSON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001549
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010143047
—
VA
01
—
175710
BCBS
VA
Enumeration date
05/25/2005
Last updated
05/28/2024
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