SUSANNAH DEVAULT

CRAWFORDSVILLE, IN
NPI1831467836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005290A)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
-- SUSANNAH DEVAULT LCSW
1480 DARLINGTON AVE
CRAWFORDSVILLE, IN 47933-2007
Phone number: 765-362-2862
Mailing Address
-- SUSANNAH DEVAULT LCSW
837 SPARTA ST
WEST LAFAYETTE, IN 47906-1550
Phone number: