Individual
LILA SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 755-4490
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(203) 470-2401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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