GINA MARIE DIVINCENZO

SYOSSET, NY
NPI1912066416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PR058073-1)
Enumeration Date2006-12-08
Last Update Date2016-09-01
Business Address
-- GINA MARIE DIVINCENZO LCSW
175 JERICHO TPKE STE 213
SYOSSET, NY 11791-4501
Phone number: 631-316-3965
Mailing Address
-- GINA MARIE DIVINCENZO LCSW
44 KELSEY AVE
HUNTINGTON STATION, NY 11746-1136
Phone number: 631-316-3965
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