Individual
JUDY ELLEN FORGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62 ARROWHEAD LN, EAST SETAUKET, NY 11733-3305
(631) 730-4134
Mailing address
62 ARROWHEAD LN, EAST SETAUKET, NY 11733-3305
(631) 730-4134
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R040944-1
NY
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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