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1669138699
NEW YORK LICENSED CLINICAL SOCIAL WORK, PC
ISLIP, NY
NPI
1669138699
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Entity Type
Organization
Authorized Contact
KIMBERLY MANN
Credentialing Manager
901-422-7608
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2021-11-15
Last Update Date
2021-12-27
Business Address
NEW YORK LICENSED CLINICAL SOCIAL WORK, PC
5 BERTRAM ST
ISLIP, NY 11751-1001
Phone number: 866-949-0108
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Mailing Address
NEW YORK LICENSED CLINICAL SOCIAL WORK, PC
50 S B B KING BLVD
MEMPHIS, TN 38103-2626
Phone number: 901-422-7644
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