Mary Lee Hasbrouck, LCSW
Social Worker, Clinical in Shoreham, NY. Individual provider (NPI-1).
NPI number1457463598
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457463598
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Lee Hasbrouck
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R022772-1 | NY | Yes |
Practice location
45 Route 25a Ste A2Shoreham, NY 11786-1389
Phone 631-821-5056 · Fax 631-821-5056
Mailing address
45 Route 25a Ste A2Shoreham, NY 11786-1389
Phone 631-821-5056 · Fax 631-821-5056
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