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1710989645
SUSAN G. MIKESELL
BEVERLY, MA
NPI
1710989645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 111938)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
SUSAN G. MIKESELL PHD; LICSW
8 THORNDIKE ST
BEVERLY, MA 01915-5858
Phone number: 978-462-2890
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Mailing Address
SUSAN G. MIKESELL PHD; LICSW
143 STATE ST
NEWBURYPORT, MA 01950-6621
Phone number: 978-462-2890
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