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Individual
SUSANNE SLAY
Active
Individual
SUSANNE SLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2206LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/23/2007
Last updated
07/08/2007
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