Individual
MS. SUSAN ANN NETHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36 E TWOHIG AVE, SUITE 300, SAN ANGELO, TX 76903-6433
(325) 657-0718
Mailing address
199 BUFFALO LN, SAN ANGELO, TX 76901-5488
(325) 655-1356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17954
TX
Other
Enumeration date
01/19/2007
Last updated
08/29/2007
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