Individual
SUZANNE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2023 ROUTE 9, ROUND LAKE, NY 12151-1701
(518) 369-0543
Mailing address
2023 ROUTE 9, ROUND LAKE, NY 12151-1701
(518) 369-0543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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