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Individual
SUZANNE LYNN MOXHAM
Active
Individual
SUZANNE LYNN MOXHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
074271-7
NY
1041C0700X
Clinical Social Worker
Primary
079054
NY
Other
Enumeration date
02/09/2007
Last updated
03/20/2013
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