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Individual

MS. SUSANNE CAROLINE LILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
51 STREET OF DREAMS, MARTINSBURG, WV 25403-1134
(304) 224-2556
Mailing address
406 N RED HILL RD, MARTINSBURG, WV 25401-2018
(304) 575-8540

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945343
WV

Other

Enumeration date
03/13/2020
Last updated
03/13/2020
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