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General NPI Number Information
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NPI Number | 1851997035
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Entity Type | Individual
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Provider Name | SUSAN HAYWOOD LOHR LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 15480 ANNAPOLIS RD STE 202-148
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City | BOWIE
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State | MD
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Zip | 20715-1852
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Country | US
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Telephone | 240-599-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 FINCHLEIGH ST
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City | LAUREL
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State | MD
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Zip | 20724-1973
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Country | US
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Telephone | 443-564-0218
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC10336
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License Number State | MD
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