SUSAN GRACE SHROG

ITHACA, NY
NPI1598925711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R055331-1)
Enumeration Date2008-06-11
Last Update Date2017-03-20
Business Address
-- SUSAN GRACE SHROG LCSW
204 N CAYUGA ST
ITHACA, NY 14850-4333
Phone number: 607-273-7494
Mailing Address
-- SUSAN GRACE SHROG LCSW
127 W STATE ST
ITHACA, NY 14850-5474
Phone number: 607-273-7494
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