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1093986747
SUSAN MACK
RICHMOND, VA
NPI
1093986747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006800)
Enumeration Date
2008-03-20
Last Update Date
2008-03-20
Business Address
-- SUSAN MACK LCSW
107 S 5TH ST
RICHMOND, VA 23219-3825
Phone number: 804-819-4000
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Mailing Address
-- SUSAN MACK LCSW
107 S 5TH ST
RICHMOND, VA 23219-3825
Phone number: 804-819-4000
Copy
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