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1821200056
SUSAN ELIZABETH WALTMAN
LATHAM, NY
NPI
1821200056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069878-1)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- SUSAN ELIZABETH WALTMAN LCSW-R
711 TROY-SCHENECTADY ROAD SUITE 202
LATHAM, NY 12110
Phone number: 518-727-2455
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Mailing Address
-- SUSAN ELIZABETH WALTMAN LCSW-R
4809 FOXWOOD DRIVE SOUTH
CLIFTON PARK, NY 12065-6824
Phone number: 518-724-3765
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