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1336328491
MICHAEL SUSSAL
FARMINGTON, CT
NPI
1336328491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006122)
Enumeration Date
2007-10-25
Last Update Date
2007-10-25
Business Address
-- MICHAEL SUSSAL LCSW
270 FARMINGTON AVE SUITE 309
FARMINGTON, CT 06032-1909
Phone number: 860-677-5570
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Mailing Address
-- MICHAEL SUSSAL LCSW
380 HITCHCOCK RD #162
WATERBURY, CT 06705-3965
Phone number: 203-591-8825
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