Individual
MS. CONSTANCE LOUISE FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
500 8TH AVE, 3RD FLOOR, NEW YORK, NY 10018-6504
(212) 904-1500
Mailing address
135 PERRY ST, #1, NEW YORK, NY 10014-2327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05323845
NY
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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