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Individual
SUSANNE D HUGHES
Active
Individual
SUSANNE D HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102542
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102542
SOCIAL WORK LICENSE
MA
Enumeration date
09/21/2018
Last updated
09/21/2018
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