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Organization

CHILDHOOD ANXIETY SOLUTIONS, LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAN BUDZYNSKI-MOLDAN LCSW-R (DIRECTOR)
(631) 331-8759
Entity
Organization

Contact information

Practice address
185 MILLER PLACE RD, MILLER PLACE, NY 11764-2808
(631) 331-8759
(631) 331-8759
Mailing address
185 MILLER PLACE RD, MILLER PLACE, NY 11764-2808
(631) 331-8759
(631) 331-8759

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R032659
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11992893325
NPI (INDIVIDUAL)
Enumeration date
08/04/2011
Last updated
08/04/2011
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