Doctor Name: | SUSAN REID MANN |
NPI Number: | 1134376841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 000451 |
Business Practice Address: | 300 Veazey Road Butner, NC - 275091626 |
Business Phone Number: | 9196742236 |
Business Fax Number: | 9196742274 |
Mailing Address: | 300 Veazey Road, BUTNER |
State: | NC |
Postal Code: | 275091626 |
Phone Number: | 9196742236 |
Fax Number: | 9196742274 |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |