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Individual
MRS. SUSANNAH GRACE DAY
Active
Individual
MRS. SUSANNAH GRACE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60801340
WA
101YP2500X
Professional Counselor
171745
KY
101YP2500X
Professional Counselor
7068
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100456950
—
KY
Enumeration date
02/23/2015
Last updated
04/11/2018
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