Individual
CAROLYN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
5 PFLUG PL STE 11, VALLEY STREAM, NY 11580-3900
(516) 825-4242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/27/2022
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