Individual
MS. SUSAN MARGARET GOLAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1855 E NORTHERN AVE, PHOENIX, AZ 85020-3963
(602) 770-1856
(480) 961-8852
Mailing address
12409 SOUTH POTOMAC ST, PHOENIX, AZ 85044-2233
(480) 961-8852
(480) 961-8852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10796
AZ
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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