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Organization
OLD BROOKVILLE PSYCHOTHERAPY LCSW PLLC
Active
Organization
OLD BROOKVILLE PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIGI CHARALAMBOUS LCSW-R (OWNER)
(516) 749-1564
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD, SUITE 404- #0644, MANHASSET, NY 11030
(516) 749-1564
Mailing address
1129 NORTHERN BLVD, SUITE 404- #0644, MANHASSET, NY 11030
(516) 749-1564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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