Individual
GEORGINA J SUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
821 E SOUTHEAST LOOP 323 STE 120, TYLER, TX 75701-9623
(903) 509-2040
Mailing address
821 E SOUTHEAST LOOP 323 STE 120, TYLER, TX 75701-9623
(903) 509-2040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
37391
TX
Other
Enumeration date
05/31/2011
Last updated
07/21/2011
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