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1346843182
SUSSAN LEE GOLDSWORTHY
FREDERICK, MD
NPI
1346843182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD 257763)
Enumeration Date
2020-11-16
Last Update Date
2023-07-12
Business Address
SUSSAN LEE GOLDSWORTHY
6811 BALLENGER RUN BLVD
FREDERICK, MD 21703
Phone number: 478-225-7590
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Mailing Address
SUSSAN LEE GOLDSWORTHY
4175 S. ALAMO AVE
TUCSON, AZ 85707
Phone number: 520-228-4357
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