Keith, Susan Mae
Keith, Susan Mae is an individual health care provider with primary practice located at 12601 Ridgedale Dr , Minnetonka MN 55305-1908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keith, Susan Mae can be contacted via phone (612) 348-3464.Contact Information
Primary practice address
12601 Ridgedale Dr
Minnetonka MN 55305-1908
Phone: (612) 348-3464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9226 | Minnesota |
Profile Details
| NPI number | 1942531009 |
|---|---|
| LBN Legal business name | Keith, Susan Mae |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Jan 28th, 2010 - about 16 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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