Individual
MRS. COURTNEY LEIGH MINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
64 CHANEL DR E, SHIRLEY, NY 11967-3810
(631) 275-7548
Mailing address
64 CHANEL DR E, SHIRLEY, NY 11967-3810
(631) 275-7548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126718
NY
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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