Susan Stewart Whiteaker, LICSW
NPI #1881730430 in Fort Snelling, Minnesota
Provider Information
- NPI Number
- 1881730430
- Entity Type
- Individual
- Name
- Susan Stewart Whiteaker, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 506 ROEDER CIR
- City
- Fort Snelling
- State
- Minnesota
- ZIP Code
- 55111-4017
- Phone
- (612) 713-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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