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Individual
SUSAN SMITH-SCOTT
Active
Individual
SUSAN SMITH-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22587
MAGELLAN
MT
01
—
732802
TUFTS
MA
01
—
PO6214
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/03/2007
Last updated
07/08/2007
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