Dr. Laquetta D Solomon, LCSW
Social Worker, Clinical in Bohemia, NY. Individual provider (NPI-1).
NPI number1609005776
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1609005776
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laquetta D Solomon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2009
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0767481 | NY | Yes |
Practice location
606 Johnson Ave Ste 17Bohemia, NY 11716-2688
Phone 631-800-1975
Mailing address
Po Box 401Medford, NY 11763-0401
Phone 631-800-1975 · Fax 631-918-7777
Other practice locations
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