Organization
MARYANN LAROSA,LCSW/R
Active
Organization
MARYANN LAROSA,LCSW/R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN LA ROSA LCSW/R (SOCIAL WORKER)
(631) 737-2727
Entity
Organization
Contact information
Practice address
233 UNION AVE, SUITE 202, HOLBROOK, NY 11741-1820
(631) 737-2727
(631) 585-8591
Mailing address
233 UNION AVE, SUITE 202, HOLBROOK, NY 11741-1820
(631) 737-2727
(631) 585-8591
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
050562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8L541
PTAN
NY
Enumeration date
04/24/2015
Last updated
04/24/2015
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