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

MRS. SUSAN LYNN DIMOCK, LCSW

Active Sole Proprietor

MRS. SUSAN LYNN DIMOCK, LCSW is a Clinical Social Worker healthcare provider located in BANDON, Oregon. NPI 1619098167 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BANDON, OR

Registration Details

NPI Number
1619098167
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2007 (19.349302084606 yrs)
Last Updated
Jul 9, 2007
License
L3672 (OR)
Sole Proprietor
Yes

Practice Information

Address
1212 ALABAMA ST
SUITE 27
BANDON, OR, 97411
Browse OR providers · Browse ZIP 97411
Phone
5413477090
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BANDON, OR

Name Credential NPI
MR. RICHARD A. STANDIFORD LCSW 1417168329
MRS. NICOLE LAVEE WOOLLEY 1952858029
DR. IVY CHRISTINE WAGNER DBH, LCSW 1346754702
TRACY ANN MERRIAM LCSW 1104572288
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.