Kicklighter, Susan Rita

Kicklighter, Susan Rita is an sole proprietor health care provider with primary practice located at 749 Millbrook Ln , South Daytona FL 32119-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kicklighter, Susan Rita can be contacted via phone (386) 547-9526.

Contact Information

Primary practice address
749 Millbrook Ln South Daytona FL 32119-2733
Phone: (386) 547-9526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1194095521
LBN Legal business name Kicklighter, Susan Rita
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2012
Last updated Jan 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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