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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