Suzanne Marie Perreault, LCSW
Social Worker, Clinical in Ithaca, NY. Individual provider (NPI-1).
NPI number1730278342
StatusActive
Last updated in NPPESDec 3, 2008
Details
- NPI
- 1730278342
- Entity type
- Individual (NPI-1)
- Name
- Ms. Suzanne Marie Perreault
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- Dec 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 071401-1 | NY | Yes |
Other names
- Suzanne Marie Cidell (Former Name)
Practice location
138 Campbell AveIthaca, NY 14850-2059
Phone 607-351-1795
Mailing address
138 Campbell AveIthaca, NY 14850-2059
Phone 607-351-1795
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