MEDICARE: SUZANNE M HUNSLEY MSW

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
1	1041C0700X	Clinical Social Worker	LW00006024	WA

General Provider Information

NPI Number	:	1043318710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE M HUNSLEY MSW

Provider Business Mailing Address
First Line	:	20102 CEDAR VALLEY RD
Second Line	:	SUITE 107
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6333
Country	:	US
Telephone Number	:	206-522-6385
Fax Number	:	425-670-8081

Provider Business Practice Location Address
First Line	:	20102 CEDAR VALLEY RD
Second Line	:	SUITE 107
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6333
Country	:	US
Telephone Number	:	206-522-6385
Fax Number	:	425-670-8081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/24/2010

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