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1487881736
SUSAN LESLIE JANTZEN
REGO PARK, NY
NPI
1487881736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY P047798-1)
Enumeration Date
2009-06-14
Last Update Date
2009-06-20
Business Address
Ms. SUSAN LESLIE JANTZEN L.C.S.W.
98120 QUEENS BLVD
REGO PARK, NY 11374-4357
Phone number: 718-830-0246
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Mailing Address
Ms. SUSAN LESLIE JANTZEN L.C.S.W.
1550 YORK AVE APT. 16B
NEW YORK, NY 10028-5970
Phone number: 212-249-5861
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