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Organization
GATEWAY COUNSELING LCSW PLLC
Active
Organization
GATEWAY COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL LEVIN (OWNER)
(631) 335-3960
Entity
Organization
Contact information
Practice address
363 ROUTE 111, SUITE 103, SMITHTOWN, NY 11787-4750
(631) 335-3960
Mailing address
363 ROUTE 111, SMITHTOWN, NY 11787-4750
(631) 335-3960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079890-1
NY
Other
Enumeration date
07/22/2014
Last updated
08/13/2014
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