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Individual
SU QIAN MACK
Active
Individual
SU QIAN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121168
NY
Other
Enumeration date
10/13/2023
Last updated
09/14/2024
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