INGRID JOHANNESEN

AMITYVILLE, NY
NPI1740319300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R048607)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
INGRID JOHANNESEN LCSW-R
55 STUART AVE
AMITYVILLE, NY 11701-4225
Phone number: 631-598-0003
Mailing Address
INGRID JOHANNESEN LCSW-R
55 STUART AVE
AMITYVILLE, NY 11701-4225
Phone number: 631-598-0003
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