Individual
JOSEE SUESS CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDC III
Contact information
Practice address
3402 COTTONWOOD ST, RAPID CITY, SD 57702-3429
(605) 718-4870
(605) 718-4878
Mailing address
3402 COTTONWOOD ST, RAPID CITY, SD 57702-3429
(605) 718-4870
(605) 718-4878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005080
—
SD
05
—
5005082
—
SD
05
—
5160320
—
SD
05
—
7100744
—
SD
Enumeration date
10/19/2012
Last updated
10/19/2012
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