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Individual
MRS. SUSAN JULIA WURTENBERGER
Active
Individual
MRS. SUSAN JULIA WURTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015026751
MO
1041C0700X
Clinical Social Worker
3812
KS
1041C0700X
Clinical Social Worker
LSW0009630054
CO
Other
Enumeration date
02/03/2021
Last updated
01/12/2022
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