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

SUSAN MARIE KOMURE, LCSW

Active

SUSAN MARIE KOMURE, LCSW is a Clinical Social Worker healthcare provider located in SAN ANDREAS, Colorado. NPI 1407930506 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN ANDREAS, CO

Registration Details

NPI Number
1407930506
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.777651049561 yrs)
Last Updated
Jul 8, 2007
License
13656 (CA)

Practice Information

Address
265 W. ST. CHARLES ST
STE #3
SAN ANDREAS, CO, 95249
Browse CO providers · Browse ZIP 95249
Phone
2097551400
Fax
2097551430
Primary Specialty
Clinical Social Worker
1041C0700X
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.