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Organization
NEW SPIRIT LICENSED CLINICAL SOCIAL WORK, PLLC
Active
Organization
NEW SPIRIT LICENSED CLINICAL SOCIAL WORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE BISHARA CARACCIOLI LCSW (OPERATING MANAGER)
(917) 536-0420
Entity
Organization
Contact information
Practice address
142 W 2ND ST, UNIT # 1A, OSWEGO, NY 13126-2547
(315) 216-4776
(315) 216-4783
Mailing address
142 W 2ND ST, UNIT # 1A, OSWEGO, NY 13126-2547
(315) 216-4776
(315) 216-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074567-1
NY
Other
Enumeration date
04/30/2013
Last updated
07/19/2013
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