Individual
SUSAN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
924 W KATHY CT, VENICE, FL 34293-1224
(941) 587-0271
Mailing address
924 W KATHY CT, VENICE, FL 34293-1224
(941) 587-0271
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
10/12/2015
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