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Organization
KIMBERLY ORTH LCSW PC
Active
Organization
KIMBERLY ORTH LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ORTH LCSW (PRESIDENT)
(516) 263-2672
Entity
Organization
Contact information
Practice address
170 TREDWELL AVE, SAINT JAMES, NY 11780-2814
(516) 263-2672
Mailing address
PO BOX 174, SAINT JAMES, NY 11780-0174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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