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MS. SUSAN MIRE

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669849014

Individual Registrant:
MS. SUSAN  MIRE 
Gender: F
Sole Proprietor

Location and contact information for practice:
2346 BELMAR DR APT 1 BELLEAIR BLUFFS, FL 33770-2053 US
Tel: 504-606-5433  Fax: --

Contact information for business:
1115 W WILLIAM DAVID PKWY  METAIRIE, LA 70005-1644 US
Tel: 504-606-5433  Fax: --

Registration Information:
NPI: 1669849014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLIMH10713

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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