Organization
SUSAN J. ROSEN WOLFSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WOLFSON LCSW (CLINICAL SOCIAL WORKER)
(941) 962-0577
Entity
Organization
Contact information
Practice address
3657 CORTEZ RD W, SUITE 130, BRADENTON, FL 34210-3106
(941) 962-0577
Mailing address
7321 LOBLOLLY BAY TRL, LAKEWOOD RANCH, FL 34202-4169
(941) 962-0577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW5613
FL
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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