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1013660174
SUSAN CAROL EISENBERG
AVON, CT
NPI
1013660174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 003196)
Enumeration Date
2022-01-30
Last Update Date
2022-06-17
Business Address
SUSAN CAROL EISENBERG LCSW
35 E MAIN ST STE 125
AVON, CT 06001-3845
Phone number: 860-325-7344
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Mailing Address
SUSAN CAROL EISENBERG LCSW
35 E MAIN ST STE 125
AVON, CT 06001-3845
Phone number: 860-325-7344
Copy
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