Susan Self

NPI #1134521370 in Peoria, Arizona

Provider Information

NPI Number
1134521370
Entity Type
Individual
Name
Susan Self
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 18, 2014
Last Updated
Sep 18, 2014

Practice Location

Address
13460 N 94TH DR
Address 2
SUITE J2
City
Peoria
State
Arizona
ZIP Code
85381-4835
Phone
(623) 487-7763

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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