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Organization
SUSAN CONNELLY LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Organization
SUSAN CONNELLY LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L CONNELLY LCSW (OWNER/PROVIDER)
(607) 427-4430
Entity
Organization
Contact information
Practice address
515 E. MAIN ST, ENDICOTT, NY 13760-5023
(607) 427-4430
(607) 444-3319
Mailing address
515 E MAIN ST, ENDICOTT, NY 13760-5023
(607) 427-4430
(607) 444-3319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
043911-1
NY
Other
Enumeration date
08/01/2018
Last updated
04/23/2020
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