SUSANNA MILLER-PENCE

SAN LUIS OBISPO, CA
NPI1265474977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW28260)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NY  R0370701)
1041C0700X Social Worker, Clinical
(Licence: FL  SW6435)
Enumeration Date2006-06-10
Last Update Date2016-10-24
Business Address
Ms. SUSANNA MILLER-PENCE LCSW
HIGHWAY 1
SAN LUIS OBISPO, CA 93409-8101
Phone number: 805-547-7900
Mailing Address
Ms. SUSANNA MILLER-PENCE LCSW
CALIFORNIA MENS COLONY P.O.BOX 8101
SAN LUIS OBISPO, CA 93409-8101
Phone number: 805-547-7900