MS. Susan M Rouggly, LCSW

NPI #1922333418 in Bonne Terre, Missouri

Provider Information

NPI Number: 1922333418
Entity Type: Individual
Name: MS. Susan M Rouggly, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 16, 2009
Last Updated: Oct 16, 2009

Practice Location

Address: 2822 RIVERS BND S
City: Bonne Terre
State: Missouri
ZIP Code: 63628-3906
Phone: (573) 358-0541

Specialties & Taxonomy Codes

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

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