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Organization
MARTHA BRICENO, LCSW FAMILY PSYCHOTHERAPY PLLC
Active
Organization
MARTHA BRICENO, LCSW FAMILY PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA M BRICENO LCSW (CLINICIAN)
(646) 753-4301
Entity
Organization
Contact information
Practice address
244 GRAHAM AVE, BROOKLYN, NY 11206-1204
(646) 753-4301
Mailing address
3330 STONEHENGE DR, EAST STROUDSBURG, PA 18301-7055
(646) 753-4301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03471634
—
NY
01
—
49H68EQ111
MEDICARE
NY
Enumeration date
02/04/2016
Last updated
02/04/2016
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