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1508582842
CAROL ELLEN WIRTH
HUNTINGTON, NY
NPI
1508582842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 072261)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
Ms. CAROL ELLEN WIRTH LCSW
47 KELSEY AVENUE
HUNTINGTON, NY 11746-1109
Phone number: 631-988-7316
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Mailing Address
Ms. CAROL ELLEN WIRTH LCSW
47 KELSEY AVENUE
HUNTINGTON, NY 11746-1109
Phone number: 631-988-7316
Copy
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