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1154105609
PRACTICAL ONLINE THERAPY LCSW PLLC
CORONA, NY
NPI
1154105609
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Entity Type
Organization
Authorized Contact
NIXALY YAKUBOV
Founder
347-848-2237
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
PRACTICAL ONLINE THERAPY LCSW PLLC
10417 35TH AVE
CORONA, NY 11368-1933
Phone number: 347-848-2237
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Mailing Address
PRACTICAL ONLINE THERAPY LCSW PLLC
45 ECKERT ST
HUNTINGTON STATION, NY 11746-3842
Phone number: 347-848-2237
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