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Individual
MARY ANN SUDA
Active
Individual
MARY ANN SUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHP, CPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1983
NE
101YP2500X
Professional Counselor
Primary
1138
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47084540826
—
NE
01
—
84722
BC-BS ID NUMBER
NE
Enumeration date
01/04/2007
Last updated
09/11/2025
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