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Individual
MISS SUSAN A. WANGERMAN
Active
Individual
MISS SUSAN A. WANGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSW, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4068
MA
104100000X
Social Worker
Primary
3025778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1895052
—
MA
01
—
354857
TRICARE/CHAMPUS
MA
01
—
454542
TUFTS HEALTH
MA
01
—
BC/BS OF MA
ALL PRODUCTS
MA
Enumeration date
09/25/2006
Last updated
09/11/2025
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