Individual
AUDREY LYNN SUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3022 SAINT JOHN CT APT 1, COLUMBUS, OH 43202-1819
(234) 380-3869
Mailing address
6364 CANTERBURY DR, HUDSON, OH 44236-3488
(234) 380-3869
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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