Dr. Mary Susan Thickstun, Ph.D., LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1437354875
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1437354875
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Susan Thickstun
- Credential
- Ph.D., LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2007
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21573 | CA | Yes |
Practice location
2204 National AveSan Diego, CA 92113-3615
Phone 619-515-2355
Mailing address
823 Gateway Center WaySan Diego, CA 92102-4541
Phone 619-906-4623 · Fax 619-906-4564
Other practice locations
3914 3rd Ave
San Diego, CA 92103-3003
San Diego, CA 92103-3003
Phone 619-291-4808
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