Organization
AFF PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELSA FAUCONIER LCSW-R (DIRECTOR)
(347) 771-4128
Entity
Organization
Contact information
Practice address
1953 RICHMOND TER, STATEN ISLAND, NY 10302-1201
(347) 320-6420
(347) 413-8836
Mailing address
1953 RICHMOND TER, STATEN ISLAND, NY 10302-1201
(347) 320-6420
(347) 413-8836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075416
NY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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