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1578933214
SUSAN M WIDICK
EVANSVILLE, IN
NPI
1578933214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003232A)
Enumeration Date
2015-10-06
Last Update Date
2017-05-09
Business Address
-- SUSAN M WIDICK LCSW
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710-1656
Phone number: 812-450-3363
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Mailing Address
-- SUSAN M WIDICK LCSW
PO BOX 3407
EVANSVILLE, IN 47733-3407
Phone number: 812-450-3363
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