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Individual
MRS. SUSAN L BECK
Active
Individual
MRS. SUSAN L BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006065
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010177863
—
VA
01
—
084453M
SENTARA PROVIDER NUMBER
VA
01
—
1164637518
GROUP NPI NUMBER
VA
01
—
178818
ANTHEM PROVIDER NUMBER
VA
01
—
2239706
CIGNA PROVIDER NUMBER
VA
01
—
252369
COMPSYCH PROVIDER NUMBER
VA
01
—
C05754
MEDICARE GROUP NUMBER
VA
Enumeration date
08/13/2006
Last updated
04/28/2008
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