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Organization
PRISM PSYCHOTHERAPY LCSW PC
Active
Organization
PRISM PSYCHOTHERAPY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. PACOS LCSWR (OWNER)
(845) 656-2606
Entity
Organization
Contact information
Practice address
56 MAIN ST STE 3-5, WARWICK, NY 10990-1345
(845) 656-2606
Mailing address
PO BOX 1196, WARWICK, NY 10990-8196
(845) 656-2606
(205) 827-8045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
10/14/2025
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