SUSAN RENEE BANCO

JERICHO, NY
NPI1962035204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R020398-01)
Enumeration Date2020-02-14
Last Update Date2020-02-14
Business Address
SUSAN RENEE BANCO LCSW
286 CARRIAGE HOUSE DRIVE
JERICHO, NY 11753
Phone number: 516-805-6852
Mailing Address
SUSAN RENEE BANCO LCSW
286 CARRIAGE HOUSE DRIVE
JERICHO, NY 11753
Phone number: 516-805-6852