Most Relevant Information
Provider Data
| NPI Number: | 1003031758 |
| Provider Name: | SUSAN K NARDUCCIE LMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 767 |
Most Important Dates
| Enumeration Date: | 04/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
600 FREMONT ST
SHENANDOAH
IA
516011539
Practice Location Phone/Fax
| Phone: | 7122465506 |
| Fax: | 7122465506 |
Provider Mailing Location
PO BOX 641130
OMAHA
NE
681647130
Provider Mailing Phone/Fax
| Phone: | 4025722907 |
| Fax: | 4025723544 |