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Organization
ROGER F SUCLUPE
Active
Organization
ROGER F SUCLUPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER FERNANDO SUCLUPE MSW LCSW (THERAPIST)
(704) 618-4189
Entity
Organization
Contact information
Practice address
4351 MAIN ST STE 204, HARRISBURG, NC 28075-7476
(704) 618-4189
Mailing address
8263 DEER DR, HARRISBURG, NC 28075-9630
(704) 618-4189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/05/2012
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