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Individual
SUSAN RAE PACYGA
Active
Individual
SUSAN RAE PACYGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06673
MN
1041C0700X
Clinical Social Worker
Primary
6837-123
WI
106H00000X
Marriage & Family Therapist
0648
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552GPA
BCBS
MN
Enumeration date
11/15/2006
Last updated
09/11/2025
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