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Organization
INDIGO PSYCHOTHERAPY LCSW PC
Active
Organization
INDIGO PSYCHOTHERAPY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WALASZEK LCSW (OWNER)
(413) 537-6108
Entity
Organization
Contact information
Practice address
330 W 58TH ST STE 409, NEW YORK, NY 10019-1820
(413) 537-6108
Mailing address
25 WOODBINE ST APT 3R, BROOKLYN, NY 11221-5586
(413) 537-6108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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