Provider Information for 1568162998
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SUSAN ALLISON OWEN LISW-CP, LCSW, CEAP
Other Names:Former Name:SUSAN OWEN ALLEN LCSW, CEAPSex: Female
NPI: 1568162998
Last Updated: 2023-03-06
Certification Date: 2023-03-05
Certification Date: 2023-03-05
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568162998 | ||||||||||||
| Enumeration Date | 2023-03-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 620 MAGNOLIA LN EDISTO ISLAND, SC 29438-3611 United States Phone: 434-420-2910 | Fax: | ||||||||||||
| Primary Practice Address | 620 MAGNOLIA LN EDISTO ISLAND, SC 29438-3611 United States Phone: 434-420-2910 | Fax: | ||||||||||||
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