MRS. Susan Manly Pelosi, LCSW

NPI #1174858625 in Red Hook, New York

Provider Information

NPI Number: 1174858625
Entity Type: Individual
Name: MRS. Susan Manly Pelosi, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 15, 2009
Last Updated: Oct 15, 2009

Practice Location

Address: 59 W MARKET ST
City: Red Hook
State: New York
ZIP Code: 12571-1534
Phone: (646) 236-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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