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Organization
INNOVATIVE COUNSELING LCSW PLLC
Active
Organization
INNOVATIVE COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA SERRANO LCSW (CEO)
(914) 788-8400
Entity
Organization
Contact information
Practice address
2127 CROMPOND RD STE 102, CORTLANDT MANOR, NY 10567-4334
(914) 788-8400
(914) 788-6781
Mailing address
2127 CROMPOND RD STE 102, CORTLANDT MANOR, NY 10567-4328
(914) 788-8400
(914) 788-6781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73-069744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266966
—
NY
Enumeration date
04/29/2009
Last updated
09/14/2017
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