Individual
SUSANNE L SHIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
1700 PARK AVE, MUSCATINE, IA 52761-5469
(563) 506-4363
Mailing address
2906 BONNIE DR, MUSCATINE, IA 52761-2311
(563) 506-4363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001557
IA
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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