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Individual
MS. SUSAN ELIZABETH INDENBAUM
Active
Individual
MS. SUSAN ELIZABETH INDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000307
—
NC
05
—
6002455
—
NC
Enumeration date
09/20/2006
Last updated
05/27/2016
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