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Pauline Urick, LCSW

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

NPI number1912242546
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1912242546
Entity type
Individual (NPI-1)
Name
Pauline Urick
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2012
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical091138NYYes
104100000X Social Worker087581-1NY

Practice location

4 Fairlane Ct
Selden, NY 11784-1715

Phone 631-605-4971

Mailing address

4 Fairlane Ct
Selden, NY 11784-1715

Phone 631-605-4971

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