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Susan Bouton, LCSW
NPI 1104971225 · on the registry since 2007 · sole proprietor
Practice
- Address
- 25 Wimbledon Dr
Roslyn, NY 11576 - Phone
- (516) 759-9340
- Fax
- (516) 759-9340
- Organisation at this address
- Susan Bouton Csw Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York