Individual
MS. SUSAN TRACY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15 DIVISION ST, GREENWICH, CT 06830-4606
(201) 560-6913
Mailing address
112 N WALNUT ST, RIDGEWOOD, NJ 07450-3224
(201) 560-6913
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001314
CT
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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