Individual
COLLEEN MARGARET MASCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32 VERMONT ST, LONG BEACH, NY 11561-1412
(516) 608-1984
Mailing address
32 VERMONT ST, LONG BEACH, NY 11561-1412
(516) 608-1984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
067309
NY
Other
Enumeration date
11/07/2007
Last updated
04/10/2024
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