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Organization
ILENE A. BRICKLEY, PLLC
Active
Organization
ILENE A. BRICKLEY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE A. BRICKLEY LCSW (OWNER)
(631) 821-0206
Entity
Organization
Contact information
Practice address
565 ROUTE 25A STE LR5, MILLER PLACE, NY 11764-2666
(631) 786-1565
Mailing address
PO BOX 333, SHOREHAM, NY 11786-0333
(631) 786-1565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
02/22/2021
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