Individual
DR. SUSAN MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3812
(646) 884-3141
Mailing address
208 VALLEY RD, NEW CANAAN, CT 06840-3812
(646) 884-3141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3321
CT
Other
Enumeration date
07/16/2012
Last updated
08/09/2019
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