Individual
GRACE SUSANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2 FOREST PARK DR STE 2-2LM, FARMINGTON, CT 06032-1445
(860) 383-7090
Mailing address
31 GOFF BROOK CIR, WETHERSFIELD, CT 06109-3925
(860) 817-1884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12170
CT
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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