SUSAN JOAN LODGE

SANTA ANA, CA
NPI1376735506
Former NameSUSAN JOAN NEUSTADT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MVO23094)
Enumeration Date2007-08-12
Last Update Date2007-08-12
Business Address
Ms. SUSAN JOAN LODGE MFT
2221 LIANE LN
SANTA ANA, CA 92705-3394
Phone number: 714-227-2439
Mailing Address
Ms. SUSAN JOAN LODGE MFT
2221 LIANE LN
SANTA ANA, CA 92705-3394
Phone number: 714-730-6560
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