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Organization
JILL HARMON, LCSW, PC
Active
Organization
JILL HARMON, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL HARMON LCSW-R (PRESIDENT)
(845) 292-4403
Entity
Organization
Contact information
Practice address
344 N MAIN ST, LIBERTY, NY 12754-1243
(845) 292-4403
Mailing address
23 NORTHGATE, GOSHEN, NY 10924-5715
(908) 705-6779
(845) 262-2892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013286012
LMSW
—
01
—
1396362976
LCSW
—
01
—
1700960002
LCSW-R
—
Enumeration date
04/07/2021
Last updated
04/07/2021
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