Individual
ANN SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
616 16TH STREET, OAKLAND, CA 94612
(510) 841-5572
Mailing address
616 16TH ST, OAKLAND, CA 94612-1205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20673
CA
Other
Enumeration date
05/09/2007
Last updated
07/16/2007
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