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Individual
SUSAN J MCCAMMON
Active
Individual
SUSAN J MCCAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7573
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01013342
PREFERRED ONE
—
01
—
127605
U-CARE
MN
01
—
5886611
AETNA
—
01
—
61Q70SI
BLUE CROSS/BLUE SHIELD
—
01
—
62-60241
MEDICA
—
01
—
855661013342
PREFERREDONE ADMINISTRATI
—
05
—
867857000
—
MN
Enumeration date
05/18/2006
Last updated
09/24/2018
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