Individual
SUE E SCHUNTER
Active
Individual
SUE E SCHUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00638
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076
REGISTERED PLAY THERAPIST
IA
01
—
15607
BCBS
IA
05
—
A5400
—
IA
Enumeration date
01/17/2006
Last updated
03/13/2008
Update your record
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