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Individual

MS. SUSAN NMI WASHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3491 GANDY BLVD, SUITE 201, PINELIAS PARK, FL 33781
(727) 547-0607
(727) 547-6752
Mailing address
3491 GANDY BLVD., SUITE 201, PINELLAS PARK, FL 33781
(727) 547-0607
(727) 547-6752

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/19/2017
Last updated
10/19/2017
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