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Organization
WHOLEHEARTED LIVING LCSW PC
Active
Organization
WHOLEHEARTED LIVING LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA MACKO LCSW (OWNER/LICENSED CLINICAL SOCIAL WORK)
(914) 400-5199
Entity
Organization
Contact information
Practice address
23 CANDEE AVENUE, SAYVILLE, NY 11782
(914) 400-5199
Mailing address
7 FLINTLOCK DRIVE, SHIRLEY, NY 11967
(914) 400-5199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079585-2
NY
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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