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Individual
DR. SUSAN LINDA O DELL
Active
Individual
DR. SUSAN LINDA O DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149 000735
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673585
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/03/2006
Last updated
07/08/2007
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