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1134465834
SUZANNE MARY BEVIS
EAST ISLIP, NY
NPI
1134465834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 080202)
Enumeration Date
2012-12-27
Last Update Date
2018-10-11
Business Address
Mrs. SUZANNE MARY BEVIS LCSW
107 W MAIN ST
EAST ISLIP, NY 11730-2337
Phone number: 631-666-1615
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Mailing Address
Mrs. SUZANNE MARY BEVIS LCSW
194 AVENUE A
HOLBROOK, NY 11741-1400
Phone number: 631-767-0167
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