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Individual

MS. SUSAN M STAY

Active
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Individual

MS. SUSAN M STAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW14580
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11625443
CQHQ
PA
01
296292000
MAGELLAN
PA
01
342143
MNH
PA
01
556099
HIGHMARK BC/BS
PA
Enumeration date
10/16/2006
Last updated
12/05/2015
About Stedi
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