Individual
DONNA M SUSSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
319 BEECH ST, HOLYOKE, MA 01040-3968
(413) 540-1160
Mailing address
2036 ROARING BROOK RD, CONWAY, MA 01341-9649
(413) 522-2044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1027143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027143
—
MA
Enumeration date
12/20/2018
Last updated
12/20/2018
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