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Organization
STACEY ROBERTSON, LCSW
Active
Organization
STACEY ROBERTSON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMAINE WILLIAMS (OFFICE MANAGER)
(732) 806-1087
Entity
Organization
Contact information
Practice address
175 LOTT ST APT 3E, BROOKLYN, NY 11226-5435
(732) 806-1087
Mailing address
175 LOTT ST APT 3E, BROOKLYN, NY 11226-5435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082326
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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