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1194322065
SUSANNE SMITH
KENOSHA, WI
NPI
1194322065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 10233)
Enumeration Date
2020-10-05
Last Update Date
2023-01-17
Business Address
SUSANNE SMITH LPC
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
SUSANNE SMITH LPC
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004
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