| Susan L Osborne, Lcsw | |
|
4631 Nw 53rd Ave Suite 104 Gainesville FL 32653-3402 | |
| (352) 371-1411 | |
| Not Available |
| Full Name | Susan L Osborne, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4631 Nw 53rd Ave, Gainesville, Florida |
| Authorized Official Name and Position | Susan Osborne (OWNER) |
| Authorized Official Contact | 3523711411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Osborne, Lcsw 4631 Nw 53rd Ave Suite 104 Gainesville FL 32653-3402 Ph: () - | Susan L Osborne, Lcsw 4631 Nw 53rd Ave Suite 104 Gainesville FL 32653-3402 Ph: (352) 371-1411 |
| NPI Number | 1679017297 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679017297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7569 (Florida) | Primary |
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