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Organization

HOME VISIT PSYCHOTHERAPY AND COUNSELING SERVICE, PLLC

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Organization

HOME VISIT PSYCHOTHERAPY AND COUNSELING SERVICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA MALLIN LCSW (PRESIDENT)
(516) 935-0562
Entity
Organization

Contact information

Practice address
12 LORRAINE ST, SYOSSET, NY 11791-6709
(516) 935-0562
(845) 340-7314
Mailing address
12 LORRAINE ST, SYOSSET, NY 11791-6709
(516) 935-0562
(845) 340-7314

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0522251
NY

Other

Enumeration date
01/06/2012
Last updated
02/14/2012
About Stedi
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  • Eligibility checks
  • EDI platform