Individual
SUSANNE JANENE SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W BUFFALO ST, ITHACA, NY 14850-4124
(712) 212-4819
Mailing address
441 N AURORA ST, ITHACA, NY 14850-4214
(712) 212-4819
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
126018
NY
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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