Queens Counseling For Change, Lcsw, Llp | |
4461a 11th St Long Island City NY 11101-5102 | |
(718) 424-6191 | |
Not Available |
Full Name | Queens Counseling For Change, Lcsw, Llp |
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Speciality | Social Worker - Clinical |
Location | 4461a 11th St, Long Island City, New York |
Authorized Official Name and Position | Lucille Berberich (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7184246191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Queens Counseling For Change, Lcsw, Llp 4461a 11th St Long Island City NY 11101-5102 Ph: (718) 424-6191 | Queens Counseling For Change, Lcsw, Llp 4461a 11th St Long Island City NY 11101-5102 Ph: (718) 424-6191 |
NPI Number | 1215388384 |
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Provider Enumeration Date | 06/29/2016 |
Last Update Date | 06/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215388384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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