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Individual

MS. SUSAN DIANA JAEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
155 N 1580 W, HURRICANE, UT 84737-2067
(262) 442-7557
Mailing address
155 N 1580 W, HURRICANE, UT 84737-2067
(262) 442-7557

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12063
AZ

Other

Enumeration date
02/10/2011
Last updated
07/27/2013
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