Susan Joan Bourbin LACSW-R

NPI 1700958212 - Social Worker - 1041C0700X

NPI Details
NPI 1700958212
Gender Female
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15 HORSEBLOCK PLACE
FARMINGVILLE NY, 11738, US
Phone (631) 854-2552
Fax (631) 854-2550
Business Location
95 TULIPWOOD DR
COMMACK NY, 11725-5625, US
Phone (631) 854-2552
Fax (631) 854-2550
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number RO49752-1
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According to our database, Susan Joan Bourbin LACSW-R NPI is 1700958212, taxonomy code is 1041C0700X and license number is RO49752-1, license state is located at New York. Susan Joan Bourbin LACSW-R physically located at 15 Horseblock Place, Farmingville NY, 11738. NPI Number Susan Joan Bourbin LACSW-R has the Individual type.

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1700958212 NPI number is provided on an as is basis without warranty of any kind. 1700958212 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Joan Bourbin LACSW-R are for informational purposes only.