Barbara L Colombo-Clague, LCSW-R ,ACSW
Social Worker, Clinical in Dix Hills, NY. Individual provider (NPI-1).
NPI number1144656372
StatusActive
Last updated in NPPESFeb 22, 2016
Details
- NPI
- 1144656372
- Entity type
- Individual (NPI-1)
- Name
- Ms. Barbara L Colombo-Clague
- Credential
- LCSW-R ,ACSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2013
- Last updated
- Feb 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R042844-1 | NY | Yes |
Practice location
151 Burrs LaneDix Hills, NY 11746
Phone 631-253-3480 · Fax 631-253-3483
Mailing address
151 Burrs LaneDix Hills, NY 11746
Phone 631-253-3480 · Fax 631-253-3483
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