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Individual
SUSAN J BRACCIO
Active
Individual
SUSAN J BRACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSWLCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003974
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140003974CT02
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
11/03/2006
Last updated
07/21/2022
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