Individual
MR. DAVID SUSANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 VINE ST, HARTFORD, CT 06112-1639
(860) 297-0810
(860) 293-6356
Mailing address
424 BRIMFIELD RD, WETHERSFIELD, CT 06109-3206
(860) 529-9113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004901
CT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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