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Organization
GARDEN CITY THERAPY, LCSW, PLLC
Active
Organization
GARDEN CITY THERAPY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AMBALU LCSW (OWNER)
(516) 816-1511
Entity
Organization
Contact information
Practice address
233 7TH ST STE 200, GARDEN CITY, NY 11530-5747
(516) 828-2622
Mailing address
190 1ST ST APT 4J, MINEOLA, NY 11501-4002
(516) 816-1511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
06/11/2019
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