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Organization
CONFIDENTIAL LCSW SERVICES,P.C.
Active
Organization
CONFIDENTIAL LCSW SERVICES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA SHAHOVA LCSW (PRESIDENT)
(917) 544-5473
Entity
Organization
Contact information
Practice address
3047 BRIGHTON 14TH ST, 2ND FLOOR, BROOKLYN, NY 11235-5501
(917) 544-5473
Mailing address
3047 BRIGHTON 14TH ST, 2ND FLOOR, BROOKLYN, NY 11235-5501
(917) 544-5473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084662
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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