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Organization

AFF PSYCHOTHERAPY

Active
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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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