SUSAN WILLIS, LCSW

Social Worker

Active Individual
NPI: 1356389092

Practice Address

201 EAST GREEN ST
Ithaca, NY 14850

Phone: (607) 274-6200

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes RO452381 (NY)

Frequently Asked Questions

NPI 1356389092 is the National Provider Identifier for SUSAN WILLIS, LCSW, a Social Worker provider located in Ithaca, NY. This NPI was enumerated on June 3, 2006.
SUSAN WILLIS, LCSW practices at 201 EAST GREEN ST, Ithaca, NY 14850.

Quick Facts

NPI
1356389092
Type
Individual
Enumerated
Jun 3, 2006
Last Updated
Apr 5, 2011

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