Susan Forman, LCSW
NPI #1912010877 in Woodbridge, Connecticut
Provider Information
- NPI Number
- 1912010877
- Entity Type
- Individual
- Name
- Susan Forman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 270 AMITY RD
- Address 2
- SUITE 130
- City
- Woodbridge
- State
- Connecticut
- ZIP Code
- 06525
- Phone
- (203) 397-0064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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