THOMAS GLEASON LAVERACK

BROOKLYN, NY
NPI1104270586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  051454)
Enumeration Date2016-04-21
Last Update Date2016-04-21
Business Address
-- THOMAS GLEASON LAVERACK LCSW-R
461 46TH ST APT 2
BROOKLYN, NY 11220-1245
Phone number: 917-309-6538
Mailing Address
-- THOMAS GLEASON LAVERACK LCSW-R
461 46TH ST APT 2
BROOKLYN, NY 11220-1245
Phone number: 917-309-6538