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Individual
MRS. PAMELA G SUGRUE
Active
Individual
MRS. PAMELA G SUGRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA
0007267777
CT
01
—
ANTHEM BLUE CROSS
300000540CT02
CT
01
—
CIGNA
2245298
CT
01
—
CONNECTICARE
62-32597
CT
01
—
GOLDEN RULE
62-32597
CT
01
—
HEALTHNET
340399
CT
01
—
OXFORD HEALTH
P3182455
CT
01
—
PHCS
93-62228
CT
01
—
UNITED HEALTH CARE
62-32597
CT
Enumeration date
03/30/2007
Last updated
07/08/2007
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