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Organization
EMILY CHAPPELL, LCSW-R, P.C.
Active
Organization
EMILY CHAPPELL, LCSW-R, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY F CHAPPELL LCSW-R (PRESIDENT)
(631) 672-9651
Entity
Organization
Contact information
Practice address
3239 ROUTE 112 STE 5, MEDFORD, NY 11763-1432
(631) 672-9651
(631) 320-1779
Mailing address
3239 ROUTE 112 STE 5, MEDFORD, NY 11763-1432
(631) 672-9651
(631) 320-1779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
064097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03155488
—
NY
Enumeration date
12/28/2016
Last updated
02/09/2017
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