Susan Mark
Peer Specialist in Longview, WA. Individual provider (NPI-1).
NPI number1295356236
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1295356236
- Entity type
- Individual (NPI-1)
- Name
- Susan Mark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2020
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Other names
- Susan Mordick (Former Name)
Practice location
720 14th AveLongview, WA 98632-2315
Phone 360-423-0203 · Fax 360-577-0187
Mailing address
Po Box 1847Longview, WA 98632-8140
Phone 360-423-0203 · Fax 360-577-0187
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All 108 Peer Specialist providers in Longview · All 2,229 providers in Longview
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