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1053461475
SUSAN L. EDLIS
NEW YORK, NY
NPI
1053461475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069279)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- SUSAN L. EDLIS LCSW
19 EAST 88TH STREET SUITE 7-G
NEW YORK, NY 10128-0537
Phone number: 212-860-3688
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Mailing Address
-- SUSAN L. EDLIS LCSW
19 EAST 88TH STREET SUITE 7-G
NEW YORK, NY 10128-0537
Phone number: 212-860-3688
Copy
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