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Individual
MS. SUSAN ELLEN SPRUNG
Active
Individual
MS. SUSAN ELLEN SPRUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104088
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079120
BEACON HEALTH SERVICES
—
05
—
110031638
—
MA
01
—
12099338
UNITED BEHAVIORAL HEALTH
—
01
—
32977
HEALTH NEW ENGLAND
MA
01
—
387166
TUFTS
MA
01
—
407200
MAGELLAN
MA
01
—
7691523
AETNA
MA
01
—
P05627
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
06/17/2006
Last updated
10/07/2012
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