DAVID SUSANIN

HARTFORD, CT
NPI1013091719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CT  004901)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
MR. DAVID SUSANIN LCSW
500 VINE ST
HARTFORD, CT 06112-1639
Phone number: 860-297-0810
Mailing Address
MR. DAVID SUSANIN LCSW
424 BRIMFIELD RD
WETHERSFIELD, CT 06109-3206
Phone number: 860-529-9113
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