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Individual

SUSAN LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
5 PETER COOPER RD APT ME, NEW YORK, NY 10010-6635
(917) 693-9186
Mailing address
5 PETER COOPER RD APT ME, NEW YORK, NY 10010-6635
(917) 693-9186

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
075551
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075551
LMSW
NY
Enumeration date
02/26/2020
Last updated
02/26/2020
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