Individual
SUSAN TAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 VISCOLOID AVE APT 2, LEOMINSTER, MA 01453-4369
(281) 818-9322
Mailing address
64 VISCOLOID AVE APT 2, LEOMINSTER, MA 01453-4369
(281) 818-9322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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