Kyle Sussenbach

NPI #1033970231 in Tucker, Georgia

Provider Information

NPI Number: 1033970231
Entity Type: Individual
Name: Kyle Sussenbach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jan 16, 2024
Last Updated: Jan 16, 2024

Practice Location

Address: 565 MARIBEE DR
City: Tucker
State: Georgia
ZIP Code: 30084-1714
Phone: (678) 534-3824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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