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Organization
JENNIFER FLANAGAN LCSW, PC
Active
Organization
JENNIFER FLANAGAN LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE FLANAGAN LCSW (LCSW)
(631) 472-2629
Entity
Organization
Contact information
Practice address
296 N MAIN ST, SUITE ONE, SAYVILLE, NY 11782-2550
(631) 472-2629
Mailing address
296 NORTH MAIN STREET, SUITE ONE, SAYVILLE, NY 11782
(631) 472-2629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
053699-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8K171
MEDICARE
NY
Enumeration date
09/14/2011
Last updated
12/04/2012
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