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1982799458
MARK CHARLES SUSSMAN
EUREKA, CA
NPI
1982799458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 11461)
Enumeration Date
2006-10-03
Last Update Date
2011-11-16
Business Address
Mr. MARK CHARLES SUSSMAN LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mr. MARK CHARLES SUSSMAN LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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