Individual
MS. SUSAN JOAN CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Contact information
Practice address
85 HAWTHORNE RD, WILLIAMSTOWN, MA 01267-2700
(413) 884-4129
(413) 458-9181
Mailing address
85 HAWTHORNE RD, WILLIAMSTOWN, MA 01267-2700
(413) 884-4129
(413) 458-9181
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
100143
MA
Other
Enumeration date
04/24/2007
Last updated
07/09/2007
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