SUSAN FORMAN

WOODBRIDGE, CT
NPI1912010877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CT  001232)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
-- SUSAN FORMAN LCSW
270 AMITY RD SUITE 130
WOODBRIDGE, CT 06525
Phone number: 203-397-0064
Mailing Address
-- SUSAN FORMAN LCSW
270 AMITY RD SUITE 130
WOODBRIDGE, CT 06525
Phone number: 203-397-0064
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