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Organization
PAULETTA MCCLENAN LCSW PC
Active
Organization
PAULETTA MCCLENAN LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTA MCCLENAN LCSW (OWNER)
(516) 507-0536
Entity
Organization
Contact information
Practice address
50 HEMPSTEAD AVE, STE I, LYNBROOK, NY 11563
(516) 507-0536
(866) 718-7573
Mailing address
50 HEMPSTEAD AVE, STE I, LYNBROOK, NY 11563
(516) 507-0536
(866) 718-7573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0693321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
NY
01
—
81454800
MAGELLAN
NY
Enumeration date
01/31/2006
Last updated
10/25/2011
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