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Individual
SUZANNAH LYNN HART
Active
Individual
SUZANNAH LYNN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9923142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296822
MEDICARE ID
CO
01
—
CSW.09923142
PROFESSIONAL LICENSE
CO
Enumeration date
04/16/2013
Last updated
06/01/2021
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