CAROL MARCIA POTRUCH

MINEOLA, NY
NPI1003992611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R040274-1)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
Dr. CAROL MARCIA POTRUCH LCSW, PhD
1527 FRANKLIN AVE SUITE 203
MINEOLA, NY 11501-4827
Phone number: 516-317-1493
Mailing Address
Dr. CAROL MARCIA POTRUCH LCSW, PhD
220 E 67TH ST
NEW YORK, NY 10021-6255
Phone number: 516-317-1493