Individual
DR. CAROL M SUSSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW SOLE PROPRIETOR
Contact information
Practice address
222 W 14 ST, 12B, NY, NY 10011-7226
(212) 989-5675
(212) 367-7323
Mailing address
222 W 14 ST, 12B, NY, NY 10011-7226
(212) 989-5675
(212) 367-7323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R013809
NY
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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