Individual
MS. SUSAN CIANFAGLIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, CVE
Contact information
Practice address
1526 VERSAILLES AVE, NO. 1, NORFOLK, VA 23509-1146
(757) 623-3776
Mailing address
1526 VERSAILLES AVE, NO. 1, NORFOLK, VA 23509-1146
(757) 623-3776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC-NRY 160519301
MI
101Y00000X
Counselor
MM1-00-6550
OH
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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