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Organization
SUZANNE J. ENNIS EDD, LCSW, P.C.
Active
Organization
SUZANNE J. ENNIS EDD, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE J. ENNIS LCSW (PSYCHOTHERAPIST)
(631) 689-8578
Entity
Organization
Contact information
Practice address
5 BLUEBERRY RIDGE RD., EAST SETAUKET, NY 11733-1503
(631) 689-8578
(631) 689-8578
Mailing address
P.O. BOX 178, EAST SETAUKET, NY 11733-0178
(631) 689-8578
(631) 689-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
026735
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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