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1154541514
SUSANNA BEACOM
NEW YORK, NY
NPI
1154541514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY L.M.S.W.)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Ms. SUSANNA BEACOM L.M.S.W.
1841 BROADWAY 4TH FLOOR
NEW YORK, NY 10023-7603
Phone number: 212-541-8196
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Mailing Address
Ms. SUSANNA BEACOM L.M.S.W.
506 E 6TH ST APT. 3R
NEW YORK, NY 10009-6658
Phone number: 212-473-5637
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