Individual
ANNA ELIZABETH EMERSON SUSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6-1 DOCTORS CIRCLE, SUPPLY, NC 28462
(910) 754-4233
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017950
NC
Other
Enumeration date
07/27/2022
Last updated
08/05/2022
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