Provider Information for 1730639238
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Ms. SUS BELSCHNER AUSTILL LCSW
Sex: Female
NPI: 1730639238
Last Updated: 2016-10-07
Certification Date:
Certification Date:
Details
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NPI | 1730639238 | ||||||||
Enumeration Date | 2016-10-07 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1601 SW ARCHER RD GAINESVILLE, FL 32608-1135 United States Phone: 352-376-1611 | Fax: | ||||||||
Primary Practice Address | 620 NW 16TH AVE GAINESVILLE, FL 32601-4034 United States Phone: 352-416-0566 | Fax:352-244-0811 | ||||||||
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