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Individual

IDA BELINDA TIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
37 KREAMER ST, BELLPORT, NY 11713-2343
(631) 730-1665
Mailing address
37 KREAMER ST, BELLPORT, NY 11713-2343
(631) 730-1665

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
073417
NY

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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