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Individual
SUSAN TAYLOR
Active
Individual
SUSAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801021518
MI
106H00000X
Marriage & Family Therapist
4101005984
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801021518
LICENSE
MI
01
—
7509107630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/27/2006
Last updated
04/01/2008
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