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1013091719
DAVID SUSANIN
HARTFORD, CT
NPI
1013091719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 004901)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Mr. DAVID SUSANIN LCSW
500 VINE ST
HARTFORD, CT 06112-1639
Phone number: 860-297-0810
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Mailing Address
Mr. DAVID SUSANIN LCSW
424 BRIMFIELD RD
WETHERSFIELD, CT 06109-3206
Phone number: 860-529-9113
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