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Organization
L I COUNSELING & SOCIAL WORK PC
Active
Organization
L I COUNSELING & SOCIAL WORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE LYNN ZUCKERMAN LCSW (PRESIDENT)
(516) 236-9111
Entity
Organization
Contact information
Practice address
3187 ANN ST, BALDWIN, NY 11510-4509
(516) 236-9111
(516) 223-0332
Mailing address
3187 ANN ST, BALDWIN, NY 11510-4509
(516) 236-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031960-1
NY
Other
Enumeration date
11/27/2017
Last updated
04/24/2024
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