Most Relevant Information
Provider Data
| NPI Number: | 1003207713 |
| Provider Name: | SUSANNA SYLVIA LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 120255 |
Most Important Dates
| Enumeration Date: | 02/17/2015 |
| Last Updated: | 02/27/2017 |
Provider Practice Location
386 STANLEY ST
FALL RIVER
MA
027206009
Practice Location Phone/Fax
| Phone: | 5086795222 |
| Fax: | 5086765671 |
Provider Mailing Location
386 STANLEY ST
FALL RIVER
MA
027206009
Provider Mailing Phone/Fax
| Phone: | 5086795222 |
| Fax: | 5086765671 |