Individual
SUSIE GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3748 IMPERATA DR, ROCKLEDGE, FL 32955
(321) 446-0126
(321) 690-0848
Mailing address
3748 IMPERATA DR, ROCKLEDGE, FL 32955
(321) 446-0126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW8999
FL
1041C0700X
Clinical Social Worker
SW899
FL
Other
Enumeration date
10/26/2009
Last updated
01/18/2023
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