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1508079443
SUSAN ELLEN GARDNER
MASSAPEQUA, NY
NPI
1508079443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR018985-1)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- SUSAN ELLEN GARDNER LCSW
4250 SUNRISE HWY SUITE 103
MASSAPEQUA, NY 11758-5338
Phone number: 516-799-4864
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Mailing Address
-- SUSAN ELLEN GARDNER LCSW
4250 SUNRISE HWY SUITE 103
MASSAPEQUA, NY 11758-5338
Phone number: 516-799-4864
Copy
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