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Individual
SUSAN WALTERS
Active
Individual
SUSAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6453
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.1100010
OH
101YM0800X
Mental Health Counselor
6453
MA
101YM0800X
Mental Health Counselor
E.1100010
OH
Other
Enumeration date
04/19/2007
Last updated
12/02/2025
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