Individual
SUSAN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 SMITH STATION RD, FREDERICKSBURG, VA 22407-9311
(540) 710-5190
Mailing address
5620 SMITH STATION RD, FREDERICKSBURG, VA 22407-9311
(540) 710-5190
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0605652
VA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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