Individual
MS. SUZAN L. MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2609-125
WI
1041C0700X
Clinical Social Worker
Primary
1666-123
WI
Other
Enumeration date
03/23/2009
Last updated
12/01/2010
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