NPI 1043439409

Susan Joan Conklin, LICSWBCD

Practitioner Contractor Williamstown, MA

Practice location

Address: 85 Hawthorne Rd, Williamstown, MA 01267-2700
Phone: (413) 884-4129
Fax: (413) 458-9181

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 100143 (MA)

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Registry record

NPI: 1043439409
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.