Lila Sussman

NPI 1780095703 - Counselor - 101YM0800X

NPI Details
NPI 1780095703
Gender Female
Enumeration Date 05/13/2014
Last Updated 05/13/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
50 BROOKSIDE RD
WATERBURY CT, 06708-1402, US
Phone (203) 755-4490
Fax
Business Location
91 NORTHWEST DR
PLAINVILLE CT, 06062-1534, US
Phone (203) 470-2401
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Lila Sussman NPI is 1780095703, taxonomy code is 101YM0800X Lila Sussman physically located at 50 Brookside Rd, Waterbury CT, 06708-1402. NPI Number Lila Sussman has the Individual type.

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1780095703 NPI number is provided on an as is basis without warranty of any kind. 1780095703 is maintained by the National Plan & Provider Enumeration System. The contents of Lila Sussman are for informational purposes only.