Mielke, Susan M

Mielke, Susan M is an sole proprietor health care provider with primary practice located at 307 Henry St Suite 308, Alton IL 62002-6326. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mielke, Susan M can be contacted via phone (618) 474-7300.

Contact Information

Primary practice address
307 Henry St Suite 308 Alton IL 62002-6326
Phone: (618) 474-7300
Fax: (618) 462-8146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007045 Illinois

Profile Details

NPI number 1114994340
LBN Legal business name Mielke, Susan M
Credentials D.MIN. LCPC (IL)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Nov 7th, 2011 - about 13 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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