Individual
MS. SUSANN J PROCHNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758603500
—
FL
Enumeration date
01/09/2007
Last updated
01/25/2024
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