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Individual
MS. SUSAN CONCEICAO
Active
Individual
MS. SUSAN CONCEICAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09923110
CO
1041C0700X
Clinical Social Worker
Primary
6128064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09923110
COLORADO LICENSE
CO
01
—
R02987801
NYS LICENSE
NY
Enumeration date
08/08/2008
Last updated
09/26/2021
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