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Individual

MRS. SUSAN MARIE VRTIS-YOUNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW, CART

Contact information

Practice address
RAYMOND W BLISS ARMY HEALTH CENTER, 2240 E. WINROW AVENUE, FORT HUACHUCA, AZ 85613
(360) 556-8214
Mailing address
5010 SANTIAGO CT, SIERRA VISTA, AZ 85635-5783
(360) 556-8214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34005015A
IN
1041C0700X
Clinical Social Worker
53577
TX
1041C0700X
Clinical Social Worker
C005903
NC
1041C0700X
Clinical Social Worker
L13881
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-17844
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100107920
IN
Enumeration date
09/20/2006
Last updated
07/25/2025
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