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1487976643
SUSANNE LEA LONGWELL
SAN DIEGO, CA
NPI
1487976643
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Former Name
SUSANNE LEA BALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 65304)
Enumeration Date
2010-02-15
Last Update Date
2018-10-29
Business Address
Mrs. SUSANNE LEA LONGWELL LCSW, PPSC
4383 CHEROKEE AVE
SAN DIEGO, CA 92104-1526
Phone number: 619-258-6877
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Mailing Address
Mrs. SUSANNE LEA LONGWELL LCSW, PPSC
4383 CHEROKEE AVE
SAN DIEGO, CA 92104-1526
Phone number: 619-573-8519
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