| Susanna Sylvia Licsw Llc | |
|
42 Hiller Rd Rochester MA 02770-4023 | |
| (339) 368-8487 | |
| Not Available |
| Full Name | Susanna Sylvia Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42 Hiller Rd, Rochester, Massachusetts |
| Authorized Official Name and Position | Susanna D Sylvia (OWNER) |
| Authorized Official Contact | 3393688487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Sylvia Licsw Llc 37 Grandview Ave Fairhaven MA 02719-2311 Ph: (339) 368-8487 | Susanna Sylvia Licsw Llc 42 Hiller Rd Rochester MA 02770-4023 Ph: (339) 368-8487 |
| NPI Number | 1750983300 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750983300 | NPI | - | NPPES |
| LICENSE | Other | MA | LICSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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