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1649426347
SUSAN LEE GUCKENBERG
RICHMOND, VA
NPI
1649426347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006179)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
-- SUSAN LEE GUCKENBERG LCSW
6912 TULANE AVE
RICHMOND, VA 23226-3533
Phone number: 804-281-0445
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Mailing Address
-- SUSAN LEE GUCKENBERG LCSW
6912 TULANE AVE
RICHMOND, VA 23226-3533
Phone number: 804-281-0445
Copy
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