MS. Susanne Annette Short, LICSW

NPI #1639349020 in Jemez Springs, New Mexico

Provider Information

NPI Number: 1639349020
Entity Type: Individual
Name: MS. Susanne Annette Short, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Mar 3, 2008
Last Updated: Oct 3, 2022

Practice Location

Address: 17482 HIGHWAY 4
City: Jemez Springs
State: New Mexico
ZIP Code: 87025-8702
Phone: (612) 505-2694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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