Individual
MRS. SUSAN MILLER GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
1504 SPRINGHILL AVE, MOBILE, AL 36604-3207
(251) 219-3919
Mailing address
1504 SPRINGHILL AVE, MOBILE, AL 36604-3207
(251) 219-3919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2112C
AL
1041C0700X
Clinical Social Worker
4606
LA
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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