Suzanne J Ennis, LCSW

NPI #1912914383 in Setauket, New York

Provider Information

NPI Number
1912914383
Entity Type
Individual
Name
Suzanne J Ennis, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5 BLUEBERRY RIDGE RD
ZIP Code
11733-1503
Phone
(631) 689-8578

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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