Provider Information for 1801522024
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NATALIE SUAZO LCSW
Sex: Female
NPI: 1801522024
Last Updated: 2022-07-29
Certification Date: 2022-07-29
Certification Date: 2022-07-29
Details
Name | Value | ||||||||
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NPI | 1801522024 | ||||||||
Enumeration Date | 2022-07-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 8017 CHERRY BRANCH DR RUSKIN, FL 33573-0149 United States Phone: 479-857-0621 | Fax: | ||||||||
Primary Practice Address | 1219 MILLENNIUM PKWY STE 109 BRANDON, FL 33511-3891 United States Phone: 479-857-0621 | Fax: | ||||||||
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