Individual
SUSSAN LEE GOLDSWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6811 BALLENGER RUN BLVD, FREDERICK, MD 21703
(478) 225-7590
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707
(520) 228-4357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
257763
MD
Other
Enumeration date
11/16/2020
Last updated
07/12/2023
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