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Individual
SUSANNE C. BAUGHMAN
Active
Individual
SUSANNE C. BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491067
ANTHEM BCBS PROVIDER PIN
IN
01
—
000000889796
ANTHEM
IN
Enumeration date
09/11/2006
Last updated
11/04/2020
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