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Individual
MS. SUZANNE MARIE WELSH LOBACKI
Active
Individual
MS. SUZANNE MARIE WELSH LOBACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1018829
MA
1041C0700X
Clinical Social Worker
Primary
SW1018829
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018829
LICSW
MA
05
—
110142649A
—
MA
01
—
P06914
BLUE CROSS BLUE SHIELD
MA
01
—
SW1018829
SOCIAL WORK
MA
Enumeration date
11/14/2006
Last updated
11/24/2023
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