Individual
SUSAN SMITH BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1417 N SEMORAN BLVD STE 203, ORLANDO, FL 32807
(407) 206-1106
(407) 206-1112
Mailing address
1417 N SEMORAN BLVD STE 203, ORLANDO, FL 32807-3555
(407) 206-1106
(407) 206-1112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 10109
FL
Other
Enumeration date
12/21/2010
Last updated
09/05/2018
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