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Organization
COURTNEY PLANK LCSW PLLC
Active
Organization
COURTNEY PLANK LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY PLANK RAULT LCSW (CEO)
(617) 697-9471
Entity
Organization
Contact information
Practice address
209 BEDFORD BANKSVILLE RD, BEDFORD, NY 10506-1918
(617) 697-9471
Mailing address
209 BEDFORD BANKSVILLE RD, BEDFORD, NY 10506-1918
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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