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Organization
EVOLUTIONARY PSYCHOTHERAPY LCSW PLLC
Active
Organization
EVOLUTIONARY PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY TWEEDY LCSW-R (DIRECTOR / OWNER)
(845) 795-8030
Entity
Organization
Contact information
Practice address
291 WALL ST STE 3, KINGSTON, NY 12401-3849
(845) 795-8030
Mailing address
291 WALL ST STE 3, KINGSTON, NY 12401-3849
(845) 795-8030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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