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Organization
SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC
Active
Organization
SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G. LENT LCSW (OWNER)
(631) 474-1533
Entity
Organization
Contact information
Practice address
6 ROOSEVELT AVE STE 2, PORT JEFFERSON STATION, NY 11776-3364
(631) 474-1533
(631) 474-1533
Mailing address
6 ROOSEVELT AVE STE 2, PORT JEFFERSON STATION, NY 11776-3364
(631) 474-1533
(631) 474-1533
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R048202-1
NY
Other
Enumeration date
10/15/2009
Last updated
05/16/2019
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