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Organization
IRENE T SACK COUNSELING SERVICES
Active
Organization
IRENE T SACK COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE T SACK LCSW,CASAC,CHT (OWNER/ CLINICAL SOCIAL WORKER)
(315) 247-3208
Entity
Organization
Contact information
Practice address
300 TULIP ST, ROOM 20, LIVERPOOL, NY 13088-4965
(315) 247-3208
(315) 453-6347
Mailing address
300 TULIP ST, ROOM 20, LIVERPOOL, NY 13088-4965
(315) 247-3208
(315) 453-6347
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R052758-1
NY
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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