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Individual
SUZANNE I KING
Active
Individual
SUZANNE I KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00283
CT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061431528
TAX ID
CT
Enumeration date
07/11/2006
Last updated
12/16/2019
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