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1780802637
SUSAN S FABRICK
NEW YORK, NY
NPI
1780802637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R071319)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- SUSAN S FABRICK LCSW
140 W 79TH ST APT 1E
NEW YORK, NY 10024-6424
Phone number: 212-799-4992
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Mailing Address
-- SUSAN S FABRICK LCSW
395 RIVERSIDE DR APT 14A
NEW YORK, NY 10025-1894
Phone number: 212-866-0165
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