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Individual
MRS. SUSAN MARIE TIELKER-SHARPE
Active
Individual
MRS. SUSAN MARIE TIELKER-SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LMFT ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000886A
IN
106H00000X
Marriage & Family Therapist
35000408ALMFT
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299295
ANTHEM
IN
01
—
150990000
MAGELLAN
IN
01
—
4352922
AETNA
IN
Enumeration date
06/15/2006
Last updated
03/19/2013
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