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Organization
FAMILY AND CONSULTING SERVICES
Active
Organization
FAMILY AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SAMUEL RLCSW (CEO)
(718) 771-3136
Entity
Organization
Contact information
Practice address
124 UTICA AVE, BROOKLYN, NY 11213-2339
(718) 771-3136
(718) 773-4273
Mailing address
124 UTICA AVE, BROOKLYN, NY 11213-2339
(718) 771-3136
(718) 773-4273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR039834-1
NY
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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