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General NPI Number Information
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NPI Number | 1598950974
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Entity Type | Individual
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Provider Name | SUSAN L MORTON LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 84 GEORGE ST # 2
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City | WESTFIELD
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State | MA
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Zip | 01085-3108
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Country | US
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Telephone | 413-218-8672
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Fax |
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Provider Business Mailing Address
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Address Line | 51 SOUTHWICK RD UNIT 104
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City | WESTFIELD
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State | MA
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Zip | 01085-4729
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Country | US
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Telephone | 413-218-8672
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120477
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License Number State | MA
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