MRS. Susan Lynn Dimock, LCSW

NPI #1619098167 in Bandon, Oregon

Provider Information

NPI Number
1619098167
Entity Type
Individual
Name
MRS. Susan Lynn Dimock, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 3, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
1212 ALABAMA ST
Address 2
SUITE 27
City
Bandon
State
Oregon
ZIP Code
97411
Phone
(541) 347-7090

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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