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Organization
WISE WOMEN OF NEW YORK, LLC
Active
Organization
WISE WOMEN OF NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE R SHIELDS LCSW (PRINCIPAL)
(516) 624-0512
Entity
Organization
Contact information
Practice address
7 WILLOW POND RD, WOODBURY, NY 11797-2819
(516) 624-0512
Mailing address
7 WILLOW POND RD, WOODBURY, NY 11797-2819
(516) 624-0512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R030570
NY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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