Organization
BRENDA A. TULLY, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ANN TULLY LCSW-R (THERAPIST)
(347) 907-3646
Entity
Organization
Contact information
Practice address
245 W 29TH ST, SUITE 304, NEW YORK, NY 10001-5208
(347) 907-3646
Mailing address
340 FAIRMOUNT AVE, UNIT 307, JERSEY CITY, NJ 07306-4848
(347) 907-3646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73074208-R
NY
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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