MS. Suzan Diane Kingma, LCSW

NPI #1194968172 in Clackamas, Oregon

Provider Information

NPI Number
1194968172
Entity Type
Individual
Name
MS. Suzan Diane Kingma, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 7, 2009
Last Updated
Apr 7, 2009

Practice Location

Address
9800 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-9750
Phone
(503) 652-2880

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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