| Susan J Shiring Lcsw Pa | |
|
4925 Greenville Ave Ste 1125 Dallas TX 75206-0501 | |
| (972) 918-0170 | |
| Not Available |
| Full Name | Susan J Shiring Lcsw Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4925 Greenville Ave Ste 1125, Dallas, Texas |
| Authorized Official Name and Position | Susan Shiring Dodge (LCSW) |
| Authorized Official Contact | 2148081543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J Shiring Lcsw Pa Po Box 638 Quitman TX 75783-0638 Ph: (214) 808-1543 | Susan J Shiring Lcsw Pa 4925 Greenville Ave Ste 1125 Dallas TX 75206-0501 Ph: (972) 918-0170 |
| NPI Number | 1386801876 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386801876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 21865 (Texas) | Primary |
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