Individual
SUSANNE WILM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8734
(772) 873-8811
(772) 873-8800
Mailing address
518 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8734
(772) 873-8811
(772) 873-8800
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
171M000000X
FL
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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