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1730377417
SUSAN LEIGH PETRIK
WATERBURY, CT
NPI
1730377417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT LCSW-8051)
Enumeration Date
2007-10-09
Last Update Date
2012-08-22
Business Address
Ms. SUSAN LEIGH PETRIK LCSW
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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Mailing Address
Ms. SUSAN LEIGH PETRIK LCSW
141 E MAIN ST
WATERBURY, CT 06702-2310
Phone number: 203-755-1143
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