MS. Maria W Sutrisno, LMSW

NPI #1003121443 in Brooklyn, New York

Provider Information

NPI Number: 1003121443
Entity Type: Individual
Name: MS. Maria W Sutrisno, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 10, 2010
Last Updated: Aug 10, 2010

Practice Location

Address: 180 LIVINGSTON ST
Address 2: SUITE 306
City: Brooklyn
State: New York
ZIP Code: 11201-5861
Phone: (718) 625-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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