Individual
MS. SUZANNE A VAN VECHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 EAST AVE, NORWALK, CT 06851-5011
(203) 858-3196
Mailing address
116 OLD BELDEN HILL RD, WILTON, CT 06897-4217
(203) 762-0677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001432
CT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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