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Organization
MARY LEROUGE LCSW PLLC
Active
Organization
MARY LEROUGE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEROUGE LCSW (OWNER)
(845) 551-6534
Entity
Organization
Contact information
Practice address
720 ROUTE 17M, MIDDLETOWN, NY 10940-4346
(845) 391-3812
Mailing address
14 SPROAT ST, MIDDLETOWN, NY 10940-3713
(845) 551-6534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
03/08/2023
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