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Susan Vivica Little

Counselor, Professional in Lawrenceville, GA. Individual provider (NPI-1).

NPI number1629617717
StatusActive
Last updated in NPPESFeb 13, 2025

Details

NPI
1629617717
Entity type
Individual (NPI-1)
Name
Susan Vivica Little
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2020
Certification date
Feb 13, 2025
Last updated
Feb 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

2090 Sugarloaf Pkwy Ste 115
Lawrenceville, GA 30045-9402

Phone 770-676-0589

Mailing address

2090 Sugarloaf Pkwy Ste 115
Lawrenceville, GA 30045-9402

Phone 770-676-0589 · Fax 470-291-2577

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