# MRS. SUSIE DIETZ MCGAUGHEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780846451
- **Gender:** F
- **Credential:** MA, PLPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 178.005558 | IL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2008014718 | MO | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 06/25/2008