SUSAN LYNN DIMOCK

BANDON, OR
NPI1619098167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3672)
Enumeration Date2007-04-03
Last Update Date2007-07-09
Business Address
Mrs. SUSAN LYNN DIMOCK LCSW
1212 ALABAMA ST SUITE 27
BANDON, OR 97411
Phone number: 541-347-7090
Mailing Address
Mrs. SUSAN LYNN DIMOCK LCSW
PO BOX 252
BANDON, OR 97411-0252
Phone number: 541-347-7090