Susan Bouton Csw PC

NPI #1649520677 in Roslyn, New York

Provider Information

NPI Number: 1649520677
Entity Type: Organization
Organization Name: Susan Bouton Csw PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 18, 2012
Last Updated: Jun 4, 2013

Practice Location

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

Authorized Official

Name: SUSAN BOUTON, CSW
Title: PRESIDENT
Phone: (516) 759-9340

Specialties & Taxonomy Codes

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

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