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Organization
SARA MCCULLAH
Active
Organization
SARA MCCULLAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MCCULLAH LCSW (CLINICAL SOCIAL WORKER)
(347) 785-7078
Entity
Organization
Contact information
Practice address
506 5TH AVE, #4, BROOKLYN, NY 11215-4812
(347) 687-3171
Mailing address
216A ALBANY AVE, BROOKLYN, NY 11213-2120
(347) 785-7078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0849931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0849931
LCSW LICENSE NUMBER
NY
Enumeration date
01/04/2017
Last updated
01/04/2017
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