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NPI Code Detail

MEDICARE: JOAN C SUSKO LSW,LPC,SAP,CRC

MEDICARE: JOAN C SUSKO LSW,LPC,SAP,CRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW013086LPA

General Provider Information

NPI Number : 1013996677
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN C SUSKO LSW,LPC,SAP,CRC
Provider Business Mailing Address
First Line : 115 ARNOLD AVE
Second Line :
City : HOUSTON
State : PA
Zip : 15342-1420
Country : US
Telephone Number : 724-747-4500
Fax Number : 724-746-2557
Provider Business Practice Location Address
First Line : 115 ARNOLD AVE
Second Line :
City : HOUSTON
State : PA
Zip : 15342-1420
Country : US
Telephone Number : 724-747-4500
Fax Number : 724-746-2557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/08/2007

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