Individual
VICTORIA HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 BENDER LN, DELMAR, NY 12054-4319
(516) 581-6713
Mailing address
22 BENDER LN, DELMAR, NY 12054-4319
(516) 581-6713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
105048
NY
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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