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Organization
PARK THERAPY LCSW, PLLC
Active
Organization
PARK THERAPY LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN FAZIO HEIMRATH LCSW (MEMBER-MANAGER)
(917) 951-7969
Entity
Organization
Contact information
Practice address
137 W 24TH ST STE 300, NEW YORK, NY 10011-1901
(917) 951-7969
Mailing address
137 W 24TH ST STE 300, NEW YORK, NY 10011-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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