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MRS. SUSAN RICHEY GAYLORD LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144450479

Individual Registrant:
MRS. SUSAN RICHEY GAYLORD LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
162 SCHMIDT LN  LUMBER BRIDGE, NC 28357-9030 US
Tel: 910-494-5888  Fax: 910-426-3921

Contact information for business:
PO BOX 437  LUMBER BRIDGE, NC 28357-0437 US
Tel: 910-494-5888  Fax: 910-426-3921

Registration Information:
NPI: 1144450479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NCC006391

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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