Individual
SUSAN SASSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 E PLEASANT ST, SPRINGFIELD, OH 45506-2201
(937) 325-5564
(937) 325-8727
Mailing address
15 E PLEASANT ST, SPRINGFIELD, OH 45506-2201
(937) 325-5564
(937) 325-8727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0004957-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433503
—
OH
Enumeration date
06/15/2017
Last updated
07/21/2022
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