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Tara Anglim, LCSW-R

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

NPI number1861746919
StatusActive
Last updated in NPPESOct 27, 2012

Details

NPI
1861746919
Entity type
Individual (NPI-1)
Name
Tara Anglim
Credential
LCSW-R
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2012
Last updated
Oct 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalR071724-1NYYes

Practice location

166 Gerritsen Ave
Bayport, NY 11705-2162

Phone 631-944-2909

Mailing address

166 Gerritsen Ave
Bayport, NY 11705-2162

Phone 631-944-2909

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