Individual
MS. SUSAN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1064 FRANKLIN AVE, BRONX, NY 10456-6704
(718) 764-1542
Mailing address
1064 FRANKLIN AVE, BRONX, NY 10456-6704
(718) 764-1542
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00108375
NY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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