Provider Information for 1922160282
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Mrs. SUSAN CAROL SCHANEN LCSW
Other Names:Former Name:Ms. SUSAN CAROL FERRARI LCSWSex: Female
NPI: 1922160282
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1922160282 | ||||||||
Enumeration Date | 2006-12-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 50726 JACKSONVILLE BEACH, FL 32240-0726 United States Phone: 904-247-0090 | Fax:904-247-0093 | ||||||||
Primary Practice Address | 1003 3RD ST N JACKSONVILLE BEACH, FL 32250-7238 United States Phone: 904-247-0090 | Fax:904-247-0093 | ||||||||
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