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1275280620
CRESCENT LIGHT COUNSELING, LCSW, PLLC
PORT JEFFERSON, NY
NPI
1275280620
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Entity Type
Organization
Authorized Contact
TAYLOR SCHULTZ
Manager/Owner
631-617-3696
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-03-06
Last Update Date
2022-03-28
Business Address
CRESCENT LIGHT COUNSELING, LCSW, PLLC
646 MAIN ST STE 102
PORT JEFFERSON, NY 11777-2230
Phone number: 631-772-9395
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Mailing Address
CRESCENT LIGHT COUNSELING, LCSW, PLLC
646 MAIN ST STE 102
PORT JEFFERSON, NY 11777-2230
Phone number: 631-772-9395
Copy
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