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Individual
SUSAN ANN EHRLICH
Active
Individual
SUSAN ANN EHRLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129W4
BCBS PROVIDER NUMBER
NC
05
—
6106539
—
NC
01
—
C002432
LCSW STATE LICENSE
NC
Enumeration date
12/05/2006
Last updated
07/07/2011
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