Susan Rennolds

NPI #1699098210 in Homer, Alaska

Provider Information

NPI Number: 1699098210
Entity Type: Individual
Name: Susan Rennolds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 3948 BEN WALTERS LN
City: Homer
State: Alaska
ZIP Code: 99603-7708
Phone: (907) 235-7701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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