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Organization

LIFE TRANSITIONS COUNSELING LCSW, PLLC

Active
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Organization

LIFE TRANSITIONS COUNSELING LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVY FIROUZTALE LCSW (MEMBER)
(631) 432-8424
Entity
Organization

Contact information

Practice address
2 PUDDING LN, DIX HILLS, NY 11746-6118
(631) 432-8424
Mailing address
2 PUDDING LN, DIX HILLS, NY 11746-6118
(631) 432-8424

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078295-1
NY

Other

Enumeration date
08/28/2014
Last updated
05/03/2021
About Stedi
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