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Organization
MATTHEW MCDAVID LCSW PLLC
Active
Organization
MATTHEW MCDAVID LCSW PLLC
Active
Other names
McDavid Creative Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA VAZQUEZ LCSW (CLINICAL DIRECTOR)
(857) 559-3435
Entity
Organization
Contact information
Practice address
53 HILL ST STE 51, SOUTHAMPTON, NY 11968-5316
(631) 904-0844
Mailing address
53 HILL ST STE 51, SOUTHAMPTON, NY 11968-5316
(631) 904-0844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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