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Edward William Brogan, LCSW

Social Worker, Clinical in West Sayville, NY. Individual provider (NPI-1).

NPI number1114342011
StatusActive
Last updated in NPPESFeb 4, 2019

Details

NPI
1114342011
Entity type
Individual (NPI-1)
Name
Edward William Brogan
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 28, 2014
Last updated
Feb 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical086442-1NYYes

Practice location

93 Main St Ste 1j
West Sayville, NY 11796-1832

Phone 631-627-1727

Mailing address

Po Box 822
Sayville, NY 11782-0822

Phone 631-627-1727

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Other Clinical Social Worker providers in West Sayville, NY

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