Individual
BROOKE LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-9758
Mailing address
40 HARRISON ST APT 7D, NEW YORK, NY 10013-2785
(201) 790-0810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099732
NY
1041C0700X
Clinical Social Worker
099732-01
NY
Other
Enumeration date
01/05/2021
Last updated
07/22/2022
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