Individual
SUSIE ELAINE SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
7667 ROUNDROCK RD, DALLAS, TX 75248-5335
(972) 490-9055
(972) 490-9058
Mailing address
PO BOX 835066, RICHARDSON, TX 75083-5066
(972) 490-9055
(972) 490-9058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
021957
TX
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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