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NPI Code Detail

MEDICARE: SUSANNE CAROL HAND LCSW

MEDICARE:   SUSANNE CAROL HAND  LCSW
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 Worker44SC05308200NJ

General Provider Information

NPI Number : 1710027271
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNE CAROL HAND LCSW
Provider Business Mailing Address
First Line : 14 AIKEN AVE
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-5230
Country : US
Telephone Number : 609-924-4985
Fax Number :
Provider Business Practice Location Address
First Line : 22 STOCKTON ST
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6813
Country : US
Telephone Number : 609-924-0060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ SUSANNE CAROL HAND LCSW” Practice Location

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