Individual provider · NPI-1
Susan Kay Pierce
Social Worker, Clinical · Bullhead City, AZ
NPI number1710024906
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710024906
- Entity type
- Individual (NPI-1)
- Name
- Susan Kay Pierce
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12134 | AZ | Yes |
Practice location
1610 Riverview DrSuite 3
Bullhead City, AZ 86442-7556
Phone 928-234-4278
Mailing address
771 Riverfront DrBullhead City, AZ 86442-6416
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