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Individual
SUSAN J ULLMAN
Active
Individual
SUSAN J ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I0001656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007453
ANTHEM
OH
01
—
78308
UNITED BEHAVIORAL HEALTH
OH
Enumeration date
02/02/2006
Last updated
02/26/2008
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