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Individual
SUSAN JOAN STEWART
Active
Individual
SUSAN JOAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014422
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042306ZDEJ
MEDICARE PTAN
PA
01
—
161375
TRICARE
PA
01
—
201297000
MAGELLAN
PA
01
—
202626
UPMC
PA
01
—
629608
BLUE SHIELD
PA
Enumeration date
07/12/2006
Last updated
05/27/2009
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