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1508330754
EMILY WYNN SUSSMAN
SOUTH BEND, IN
NPI
1508330754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008383A)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
EMILY WYNN SUSSMAN LCSW
227 N DIXIE WAY STE 125
SOUTH BEND, IN 46637-3385
Phone number: 574-276-7306
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Mailing Address
EMILY WYNN SUSSMAN LCSW
52389 WINDOVER LN
GRANGER, IN 46530-9081
Phone number: 508-524-1790
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