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Organization
SJG PSYCHOTHERAPY INC
Active
Organization
SJG PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GUIDA LCSW (PRESIDENT)
(516) 621-2854
Entity
Organization
Contact information
Practice address
626 WILLIS AVE, WILLISTON PARK, NY 11596
(516) 621-2854
(516) 621-2854
Mailing address
43 DOGWOOD ROAD, ALBERTSON, NY 11507
(516) 621-2854
(546) 621-2854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R069724 1
NY
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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