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Individual

MS. SUSAN A. ONDERWYZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
24 FRONT ST STE 100, EXETER, NH 03833-2727
(603) 883-0005
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000180
VT
1041C0700X
Clinical Social Worker
089-0000155
VT
1041C0700X
Clinical Social Worker
Primary
2117
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3118595
NH
Enumeration date
11/08/2009
Last updated
12/09/2024
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