MS. SUSANNE SHORT, LICSW

Social Worker - Clinical

Active Individual
NPI: 1639349020

Practice Address

17482 HIGHWAY 4
Jemez Springs, NM 87025

Phone: (612) 505-2694

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 2022-0084 (NM)

Frequently Asked Questions

NPI 1639349020 is the National Provider Identifier for MS. SUSANNE SHORT, LICSW, a Social Worker - Clinical provider located in Jemez Springs, NM. This NPI was enumerated on March 3, 2008.
MS. SUSANNE SHORT, LICSW practices at 17482 HIGHWAY 4, Jemez Springs, NM 87025.

Quick Facts

NPI
1639349020
Type
Individual
Enumerated
Mar 3, 2008
Last Updated
Oct 3, 2022

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