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1437433307
SUSAN POPOW
RIVERHEAD, NY
NPI
1437433307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071481)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
-- SUSAN POPOW LCSW
300 PULASKI ST PULASKI ST.SCHOOL- RCSD
RIVERHEAD, NY 11901-3061
Phone number: 631-369-6825
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Mailing Address
-- SUSAN POPOW LCSW
19 SILVERPINE DR.
MEDFORD, NY 11763
Phone number: 631-848-7001
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