Individual
MS. SUZANNE TARVER VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7084
Mailing address
837 HARRINGTON DR, MADISON, WI 53718-3239
(414) 852-8862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1803-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10062926
—
WI
Enumeration date
05/29/2008
Last updated
12/28/2021
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