KEVIN MICHAEL LYCKE

HUNTINGTON STATION, NY
NPI1770894511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PR065283-1)
Enumeration Date2010-06-26
Last Update Date2015-12-14
Business Address
Mr. KEVIN MICHAEL LYCKE MSW/LCSW
33 WALT WHITMAN RD SUITE 106
HUNTINGTON STATION, NY 11746-3640
Phone number: 631-334-0234
Mailing Address
Mr. KEVIN MICHAEL LYCKE MSW/LCSW
38 RICHMOND BLVD. 4A
RONKONKOMA, NY 11779-3615
Phone number: 631-334-0234