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Individual
MRS. SUSAN M. MONTVILLE
Active
Individual
MRS. SUSAN M. MONTVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017252
VALUE OPTIONS
MA
01
—
1020140
BEACON HEALTH STRATEGIES
MA
01
—
35630
MAGELLAN BEHAVIORAL HEALT
MA
01
—
M0P04058
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/21/2007
Last updated
07/08/2007
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