Susanne Short's National Provider Identifier (NPI) Details
Susanne Short, LICSW
NPI: 1639349020
Enumeration Date: 2008-03-03
Last updated: 2022-10-03
Sole Proprietor: NO
Status: active
Postal Address: 17482 HIGHWAY 4, JEMEZ SPRINGS, NM
Phone: 612-505-2694
Primary Practice Address: PO BOX 573, JEMEZ SPRINGS, NM
Practice's phone: 612-505-2694