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NPI 1972712164

NPI 1972712164 : SUSAN J STRICKLAND LLC : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1972712164
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUSAN J STRICKLAND LLC 
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Dates
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    Enumeration Date     |    05/22/2007
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    Last Update Date     |    12/27/2025
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Provider Practice Location Address
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    Address Line         |    406 GRAIL DR 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32301-3337
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    Country              |    US
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    Telephone            |    850-212-0702
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 15753 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32317-5753
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    Country              |    US
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    Telephone            |    850-212-0702
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER MEMBER
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    Name                 |    DR. SUSAN J. STRICKLAND 
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    Credential           |    PH.D., LCSW, MT-BC
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    Telephone            |    850-212-0702
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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       |    SW8561
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    License Number State |    FL
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