MRS. Susan Bouton, LCSW

NPI #1104971225 in Roslyn, New York

Provider Information

NPI Number
1104971225
Entity Type
Individual
Name
MRS. Susan Bouton, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
Jan 25, 2007
Last Updated
Jun 2, 2013

Practice Location

Address
25 WIMBLEDON DR
City
Roslyn
ZIP Code
11576-3084
Phone
(516) 759-9340

Specialties & Taxonomy Codes

Specialty
Social Worker

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