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Individual
MS. SUSAN WESTLAKE LONGERBONE
Active
Individual
MS. SUSAN WESTLAKE LONGERBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOC NCC CEAP MAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
NC961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023332
VMC
—
01
—
102040
MHN
—
01
—
479252
VALUE OPTIONS
—
01
—
51335
MT CARMEL BEHAVORIAL HLTH
—
01
—
52689
BLUECROSS BLUESHIELD
NC
05
—
6102049
—
NC
Enumeration date
11/04/2005
Last updated
07/08/2007
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