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Organization
SUSAN T. COPPETO LCSW PC
Active
Organization
SUSAN T. COPPETO LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN T. COPPETO LCSW PC (PRESIDENT)
(631) 567-6721
Entity
Organization
Contact information
Practice address
68 CANNON DR., HOLBROOK, NY 11741
(631) 567-6721
Mailing address
68 CANNON DR, HOLBROOK, NY 11741-5219
(631) 567-6721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R051696-1
NY
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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