Individual
MRS. SUSAN CLAY NUCKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
100 W COLUMBIA ST, 100 W. COLUMBIA ST., ORLANDO, FL 32806-1006
(407) 245-0014
Mailing address
100 W COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 245-0014
(407) 245-0046
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
404
FL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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