Koziol, Susan F

Koziol, Susan F is an individual health care provider with primary practice located at 145 S Worthen St , Wenatchee WA 98801-3081. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koziol, Susan F can be contacted via phone (509) 662-6761.

Contact Information

Primary practice address
145 S Worthen St Wenatchee WA 98801-3081
Fax: (509) 662-3182
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00005379 Washington

Profile Details

NPI number 1619997053
LBN Legal business name Koziol, Susan F
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 17th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619997053 NPPES
Washington MEDICAID 8522070
Washington Other 8903853

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