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Organization

JOHN LAURITZEN MSW LICSW

Active
Other names
John Lauritzen HIV Case Management
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN F LAURITZEN MSW LICSW (SOCIAL WORKER)
(917) 880-5894
Entity
Organization

Contact information

Practice address
17 STATE ST, SUITE 4000, NEW YORK, NY 10004-1502
(917) 880-5894
Mailing address
17 STATE STREET, SUITE 4000, NEW YORK, NY 10004-1502
(917) 880-5894

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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