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Organization
SUSAN L OSBORNE, LCSW
Active
Organization
SUSAN L OSBORNE, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN OSBORNE (OWNER)
(352) 371-1411
Entity
Organization
Contact information
Practice address
4631 NW 53RD AVE, SUITE 104, GAINESVILLE, FL 32653-3402
(352) 371-1411
Mailing address
4631 NW 53RD AVE, SUITE 104, GAINESVILLE, FL 32653-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7569
FL
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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