Family Harmonyand Personal Growth Lcsw Pc | |
140 N Ocean Ave Patchogue NY 11772-2023 | |
(631) 654-8101 | |
Not Available |
Full Name | Family Harmonyand Personal Growth Lcsw Pc |
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Speciality | Social Worker - Clinical |
Location | 140 N Ocean Ave, Patchogue, New York |
Authorized Official Name and Position | James W Banks (PRESIDENT) |
Authorized Official Contact | 6316548101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Harmonyand Personal Growth Lcsw Pc 140 N Ocean Ave Patchogue NY 11772-2023 Ph: (631) 654-8101 | Family Harmonyand Personal Growth Lcsw Pc 140 N Ocean Ave Patchogue NY 11772-2023 Ph: (631) 654-8101 |
NPI Number | 1932405016 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 09/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932405016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R0309191 (New York) | Primary |
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