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Individual
SUZANNE KLATT
Active
Individual
SUZANNE KLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PHD, LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34010905A
IN
1041C0700X
Clinical Social Worker
Primary
I.0600053-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.0600053-SUPV
STATE LICENSE
OH
Enumeration date
11/22/2022
Last updated
12/09/2024
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