Individual
MS. CAROL J ANTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 E 68TH ST STE 206, NEW YORK, NY 10021-5867
(212) 737-2010
Mailing address
20 E 68TH ST STE 206, NEW YORK, NY 10021-5867
(212) 737-2010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
047156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047156
NYS LINCENSE
NY
Enumeration date
11/01/2006
Last updated
07/09/2007
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