20-20 Pathways Lcsw PLLC
Social Worker, Clinical in N Merrick, NY. Organization (NPI-2).
NPI number1730463571
StatusActive
Last updated in NPPESOct 7, 2011
Details
- NPI
- 1730463571
- Entity type
- Organization (NPI-2)
- Legal business name
- 20-20 Pathways Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2011
- Last updated
- Oct 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R070249-1 | NY | Yes |
Practice location
64 Northridge AveN Merrick, NY 11566-1928
Phone 631-807-0761
Mailing address
64 Northridge AveN Merrick, NY 11566
Phone 631-807-0761
Authorized official
Linda Teresa Beliveau
Clinical Social Worker
6318070761
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