Individual
SUZANNE LIVOLSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
3974 AMBOY RD, 3RD FL, STATEN ISLAND, NY 10308-2414
(718) 984-5050
(718) 984-5165
Mailing address
17 ATMORE PL, STATEN ISLAND, NY 10306-1161
(718) 980-1209
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
063556-1
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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