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NPI Code Detail

MEDICARE: SUSAN SUGAR LCSW

MEDICARE:   SUSAN  SUGAR  LCSW
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 WorkerLCSW 4159AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306897319
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SUGAR LCSW
Provider Business Mailing Address
First Line : 2400 E ARIZONA BILTMORE CIR
Second Line : SUITE 2430
City : PHOENIX
State : AZ
Zip : 85016-2107
Country : US
Telephone Number : 602-995-3637
Fax Number : 602-381-9907
Provider Business Practice Location Address
First Line : 2400 E ARIZONA BILTMORE CIR
Second Line : SUITE 2430
City : PHOENIX
State : AZ
Zip : 85016-2107
Country : US
Telephone Number : 602-995-3637
Fax Number : 602-381-9907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2006
Last Update Date : 07/09/2007

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Directions to “ SUSAN SUGAR LCSW” Practice Location

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