Provider Demographics
NPI:1669794723
Name:FUCHS-HOESCHEN, SUSAN JEAN (LICSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:JEAN
Last Name:FUCHS-HOESCHEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22 WILSON AVE NE
Mailing Address - Street 2:STE 110
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-0440
Mailing Address - Country:US
Mailing Address - Phone:320-251-7700
Mailing Address - Fax:320-251-8898
Practice Address - Street 1:22 WILSON AVE NE
Practice Address - Street 2:STE 110
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0440
Practice Address - Country:US
Practice Address - Phone:320-251-7700
Practice Address - Fax:320-251-8898
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN97491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical