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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SUSAN LOUISE BROCKLESBY, LMSW

Active

MRS. SUSAN LOUISE BROCKLESBY, LMSW is a Mental Health Counselor healthcare provider located in MULVANE, Kansas. NPI 1104417807 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MULVANE, KS

Registration Details

NPI Number
1104417807
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2021 (5.5902839214325 yrs)
Last Updated
Jan 27, 2021
License
7572 (KS)

Practice Information

Address
10950 S 143RD ST E
MULVANE, KS, 671109451
Browse KS providers · Browse ZIP 67110
Phone
3164094782
Primary Specialty
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.