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1700112174
SUSAN M ERICSON
WATERBURY, CT
NPI
1700112174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 007107)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
SUSAN M ERICSON LCSW
64 ROBBINS ST WATERBURY HOSPITAL - CRISIS CENTER
WATERBURY, CT 06721
Phone number: 203-573-6103
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Mailing Address
SUSAN M ERICSON LCSW
64 ROBBINS ST WATERBURY HOSPITAL - CRISIS CENTER
WATERBURY, CT 06721
Phone number: 203-573-6103
Copy
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