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General NPI Number Information
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NPI Number | 1538201355
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Entity Type | Individual
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Provider Name | SUSAN LEE TOHN MSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 82 WENDELL AVE STE 100
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City | PITTSFIELD
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State | MA
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Zip | 01201-7066
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Country | US
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Telephone | 978-790-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 296 W SLEEPY HOLLOW RD
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-2747
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Country | US
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Telephone | 978-790-6131
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Fax | 978-790-6131
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1019532
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License Number State | MA
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