Individual ProviderSusan H SporlSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3019 Judson St, Suite C, Gig Harbor, WA 98335-5143(253) 851-9018PECOS EnrollmentBased on the most recent information from CMS, provider Susan H Sporl does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1992820500Provider TypeIndividualFull NameSporl, Susan HCredentialMSWGenderFemaleSole ProprietorYesEnumeration Date3/20/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3019 Judson St, Suite C, Gig Harbor, WA 98335-5143Phone(253) 851-9018Fax(253) 851-3461Mailing LocationMailing AddressPO Box 1546, Gig Harbor, WA 98335-3546Phone(253) 851-9018Fax(253) 851-3461Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW00006111Washington