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Individual
MS. SUSAN BECKER
Active
Individual
MS. SUSAN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
207446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008626
HARVARD PILGRIM HC
MA
01
—
5453624
CIGNA
MA
01
—
799800
TUFTS
MA
01
—
P00698208
PALMETTO RR MEDICARE
MA
Enumeration date
09/13/2006
Last updated
06/26/2012
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