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Organization
HEART AND SOUL LCSW P.C.
Active
Organization
HEART AND SOUL LCSW P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER DIBENEDETTO (LICENSED CLINICAL SOCIAL WORKER)
(914) 419-9962
Entity
Organization
Contact information
Practice address
220 ROUTE 6, MAHOPAC, NY 10541-3850
(914) 419-9962
Mailing address
37 MAHOPAC AVE, AMAWALK, NY 10501-1004
(914) 419-9962
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R038276-1
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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