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Organization
SOCIAL THERAPY CONTRACTOR LCSW LLC
Active
Organization
SOCIAL THERAPY CONTRACTOR LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY J BLOCKER MSW (CEO)
(718) 720-0174
Entity
Organization
Contact information
Practice address
17 DEVON PL, STATEN ISLAND, NY 10301-2012
(718) 720-0174
Mailing address
17 DEVON PL, STATEN ISLAND, NY 10301-2012
(718) 720-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046837-1
NY
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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