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Individual
MS. SUSAN DAVIS
Active
Individual
MS. SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1509
MA
101YM0800X
Mental Health Counselor
Primary
1509
MA
101YP2500X
Professional Counselor
1509
MA
101YS0200X
School Counselor
1509
MA
106H00000X
Marriage & Family Therapist
1509
MA
174400000X
Specialist
—
—
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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