Individual
MS. SUSAN KOPP TOWNSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
414 S EAST AVE, VIROQUA, WI 54665
(608) 638-3332
(608) 637-7328
Mailing address
414 S EAST AVE, VIROQUA, WI 54665-2006
(608) 638-3332
(608) 637-7328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6737 - 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40945800
—
WI
Enumeration date
05/09/2006
Last updated
06/15/2018
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