Individual
ALEKSANDRA MARIA SUSLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
2632 NW 147TH ST, NEWBERRY, FL 32669-2088
(352) 325-4629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11910
FL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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