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General NPI Number Information
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NPI Number | 1699931972
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Entity Type | Individual
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Provider Name | SUSAN MARGARET MORGAN LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 2633 RIDGEWOOD RD SUITE 101
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City | JACKSON
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State | MS
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Zip | 39216-4962
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Country | US
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Telephone | 601-940-8862
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16855
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City | JACKSON
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State | MS
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Zip | 39236-6855
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Country | US
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Telephone | 601-940-8862
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0978
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0978
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License Number State | MS
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