MS. Susan S. Breazeale, LISW

NPI #1194814228 in Arroyo Hondo, New Mexico

Provider Information

NPI Number: 1194814228
Entity Type: Individual
Name: MS. Susan S. Breazeale, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Oct 12, 2006
Last Updated: Jan 16, 2020

Practice Location

Address: 36 NIEMAN RD
City: Arroyo Hondo
State: New Mexico
ZIP Code: 87513
Phone: (575) 613-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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