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Individual
SUSAN DARBY
Active
Individual
SUSAN DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P04274
BLUE SHIELD
MA
Enumeration date
10/20/2006
Last updated
03/26/2010
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