Individual
ANTONETTE SLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23151 E WATFORD DR, QUEEN CREEK, AZ 85142-1759
(845) 239-2208
Mailing address
23151 E WATFORD DR, QUEEN CREEK, AZ 85142-1759
(845) 239-2208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
099274
NY
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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