| Roger F Suclupe | |
|
4351 Main St Ste 204 Harrisburg NC 28075-7476 | |
| (704) 618-4189 | |
| Not Available |
| Full Name | Roger F Suclupe |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4351 Main St Ste 204, Harrisburg, North Carolina |
| Authorized Official Name and Position | Roger Fernando Suclupe (THERAPIST) |
| Authorized Official Contact | 7046184189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger F Suclupe 8263 Deer Dr Harrisburg NC 28075-9630 Ph: (704) 618-4189 | Roger F Suclupe 4351 Main St Ste 204 Harrisburg NC 28075-7476 Ph: (704) 618-4189 |
| NPI Number | 1134265358 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 07/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134265358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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