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Individual
MS. SUSAN M BANASHEK
Active
Individual
MS. SUSAN M BANASHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004036263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497538405
—
MO
Enumeration date
07/29/2006
Last updated
04/15/2025
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