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Individual

DR. SUSIE OZETTA TROXLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3409 W WENDOVER AVE STE E, GREENSBORO, NC 27407-1579
(336) 324-1610
Mailing address
PO BOX 41105, GREENSBORO, NC 27404-1105
(336) 324-1610

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2790
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045R4
BLUE CROSS BLUE SHIELD
NC
05
6000363
NC
Enumeration date
05/30/2005
Last updated
06/22/2021
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