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Individual
MS. SUSAN JANE VENZKE
Active
Individual
MS. SUSAN JANE VENZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430R5VE
BLUE CROSS BLUE SHIELD
MN
01
—
6270939
UNITED BEHAVIORAL HEALTH
MN
05
—
800001435
—
MN
Enumeration date
08/30/2006
Last updated
05/15/2008
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