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Individual

MS. SUZAN L WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1 S MAIN ST, JANESVILLE, WI 53545-3977
(608) 757-0404
(608) 757-2319
Mailing address
1 S MAIN ST, PO BOX 8010, JANESVILLE, WI 53545-3977
(608) 757-0404
(608) 757-2319

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3543-125
WI
163W00000X
Registered Nurse
Primary
80451-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43704400
WI
01
76707
NBCC
Enumeration date
01/11/2007
Last updated
09/11/2025
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