| Suzette Smith Lcsw Inc | |
|
1103 Fortune Ave Panama City FL 32401-1831 | |
| (850) 769-6188 | |
| (850) 769-2366 |
| Full Name | Suzette Smith Lcsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1103 Fortune Ave, Panama City, Florida |
| Authorized Official Name and Position | Suzette Marie Smith (LCSW) |
| Authorized Official Contact | 8507696188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzette Smith Lcsw Inc 1103 Fortune Ave Panama City FL 32401-1831 Ph: (850) 769-6188 | Suzette Smith Lcsw Inc 1103 Fortune Ave Panama City FL 32401-1831 Ph: (850) 769-6188 |
| NPI Number | 1023339579 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023339579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9170 (Florida) | Primary |
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