Mary Susan Thickstun PH.D., LCSW

NPI 1437354875 - Counselor - 101YM0800X

NPI Details
NPI 1437354875
Gender Female
Enumeration Date 06/17/2007
Last Updated 04/21/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
3914 3RD AVE
SAN DIEGO CA, 92103-3003, US
Phone (619) 291-4808
Fax
Business Location
823 GATEWAY CENTER WAY
SAN DIEGO CA, 92102-4541, US
Phone (619) 906-4623
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number LCS 21573
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According to our database, Dr. Mary Susan Thickstun PH.D., LCSW NPI is 1437354875, taxonomy code is 101YM0800X and license number is LCS 21573, license state is located at California. Mary Susan Thickstun PH.D., LCSW physically located at 3914 3rd Ave, San Diego CA, 92103-3003. NPI Number Mary Susan Thickstun PH.D., LCSW has the Individual type.

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1437354875 NPI number is provided on an as is basis without warranty of any kind. 1437354875 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Susan Thickstun PH.D., LCSW are for informational purposes only.