| NPI | 1376208017 |
|---|---|
| Other Name | MARY MCCLUSKEY LCSW |
| Entity Type | Organization |
| Authorized Contact | MARY MCCLUSKEY Owner 917-714-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |