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1316473911
SUSAN ENNIS
WAUKESHA, WI
NPI
1316473911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 8663-123)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
-- SUSAN ENNIS LCSW
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7666
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Mailing Address
-- SUSAN ENNIS LCSW
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7666
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