Individual
MS. SUSAN BENSON EMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14002 NE 100TH CIR, VANCOUVER, WA 98682-1755
(360) 896-8167
Mailing address
14002 NE 100TH CIR, VANCOUVER, WA 98682-1755
(360) 896-8167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L4590
OR
Other
Enumeration date
04/11/2010
Last updated
04/11/2010
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