Individual
MRS. SUSAN WASSERMANN DAVEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GASTON DR, ELIZABETH CITY, NC 27909-9460
(252) 330-1318
Mailing address
104 GASTON DR, ELIZABETH CITY, NC 27909-9460
(252) 330-1318
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
NC
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Enumeration date
01/06/2009
Last updated
01/29/2009
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