Individual
SUZETTE MARIE DUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-7650
(719) 275-4209
Mailing address
1445 RED CANYON RD, CANON CITY, CO 81212-8827
(719) 285-5492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0107492
CO
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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