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Individual
MS. PAYAL SUD
Active
Individual
MS. PAYAL SUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014773
IL
1041C0700X
Clinical Social Worker
34010843A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
IL
Enumeration date
04/11/2011
Last updated
09/26/2024
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