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1053449371
SUSAN H. BERG
PORT JEFFERSON, NY
NPI
1053449371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 23857R)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. SUSAN H. BERG D.S.W.
105 WHITTIER PL
PORT JEFFERSON, NY 11777-1619
Phone number: 631-928-2175
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Mailing Address
Dr. SUSAN H. BERG D.S.W.
105 WHITTIER PL
PORT JEFFERSON, NY 11777-1619
Phone number: 631-928-2175
Copy
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