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NPI Code Detail

MEDICARE: MS. SUSAN LEE TOHN MSW

MEDICARE:  MS. SUSAN LEE TOHN  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1019532MA

General Provider Information

NPI Number : 1538201355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN LEE TOHN MSW
Provider Business Mailing Address
First Line : 296 W SLEEPY HOLLOW RD
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-2747
Country : US
Telephone Number : 978-790-6131
Fax Number : 978-790-6131
Provider Business Practice Location Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 978-790-6131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 04/24/2025

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Directions to “ MS. SUSAN LEE TOHN MSW” Practice Location

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