Individual
SUSAN LYNN HEISS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E OLDTOWN RD, CUMBERLAND, MD 21502-3600
(301) 777-8685
Mailing address
300 E OLDTOWN RD, CUMBERLAND, MD 21502-3600
(301) 777-8685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22819
MD
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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