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Individual
MS. JODI LYN SUCKNEY
Active
Individual
MS. JODI LYN SUCKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CAC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5238
CO
1041C0700X
Clinical Social Worker
1289
CO
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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