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Individual

SUSAN ALLISON OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP, LCSW, CEAP

Contact information

Practice address
620 MAGNOLIA LN, EDISTO ISLAND, SC 29438-3611
(434) 420-2910
Mailing address
620 MAGNOLIA LN, EDISTO ISLAND, SC 29438-3611
(434) 420-2910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005169
VA
1041C0700X
Clinical Social Worker
Primary
13055
SC

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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