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1356389092
SUSAN M WILLIS
ITHACA, NY
NPI
1356389092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY RO452381)
Enumeration Date
2006-06-03
Last Update Date
2011-04-05
Business Address
-- SUSAN M WILLIS LCSW
201 EAST GREEN ST
ITHACA, NY 14850
Phone number: 607-274-6200
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Mailing Address
-- SUSAN M WILLIS LCSW
113 TEXAS LANE
ITHACA, NY 14850
Phone number: 607-274-6200
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