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Organization
COMMUNITY COUNSELING TOO LCSW SERVICES PLLC
Active
Organization
COMMUNITY COUNSELING TOO LCSW SERVICES PLLC
Active
Other names
PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY LEE GORDON LCSWR (EXCUTIVE DIRECTOR)
(631) 294-0216
Entity
Organization
Contact information
Practice address
468 MAIN ST, MASTIC BEACH, NY 11951-3407
(631) 294-0216
(631) 772-6221
Mailing address
468 MAIN ST, MASTIC BEACH, NY 11951-3407
(631) 300-7910
(631) 772-6221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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