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Individual
MS. SUSAN DIANNE COLBY
Active
Individual
MS. SUSAN DIANNE COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YM0800X
Mental Health Counselor
Primary
MH19484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17572
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MQA
FL
Enumeration date
09/28/2018
Last updated
07/21/2021
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