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1407433733
SUSAN WAHLSTROM
EVANSVILLE, IN
NPI
1407433733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002263A)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
SUSAN WAHLSTROM LCSW
4001 JOHN ST
EVANSVILLE, IN 47714-0216
Phone number: 812-473-3144
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Mailing Address
SUSAN WAHLSTROM LCSW
415 MULBERRY ST
EVANSVILLE, IN 47713-1230
Phone number: 812-423-7791
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