Individual
SUSAN L LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 E GILLETTE COURT, SIMSBURY, CT 06070-2492
(860) 651-6156
(860) 217-1550
Mailing address
8 E GILLETTE COURT, SIMSBURY, CT 06070-2492
(860) 651-6156
(860) 217-1550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000580
CT
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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