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Organization
COMMON PRACTICE COUNSELING LCSW PLLC
Active
Organization
COMMON PRACTICE COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SCANTLEBURY MSW (PRACTICE OWNER)
(718) 415-2678
Entity
Organization
Contact information
Practice address
21 GEORGIA STREET, VALLEY STREAM, NY 11580-2224
(718) 415-2678
(718) 481-7609
Mailing address
21 GEORGIA STREET, VALLEY STREAM, NY 11580-2224
(718) 415-2678
(718) 481-7609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
03/01/2024
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