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Individual
MS. SUSAN RAJACICH
Active
Individual
MS. SUSAN RAJACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
875
MT
1041C0700X
Clinical Social Worker
517
MT
1041C0700X
Clinical Social Worker
Primary
LW60754941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094393
—
WA
01
—
G8974824
MEDICARE
WA
Enumeration date
08/29/2006
Last updated
05/13/2021
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