Individual
MS. AUDREY JACOBS BROCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BCD
Contact information
Practice address
420 BEECHMONT DR, NEW ROCHELLE, NY 10804-4613
(914) 235-5646
(914) 235-7852
Mailing address
420 BEECHMONT DR, NEW ROCHELLE, NY 10804-4613
(914) 235-5646
(914) 235-7852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR031433-1
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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