Individual
SUSAN SZCZESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N CENTRAL AVE, SUITE C, MEDFORD, OR 97501-5840
(541) 245-4673
Mailing address
817 N CENTRAL AVE, SUITE C, MEDFORD, OR 97501-5840
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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