Individual
BRIANNA KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 WIRELESS BLVD, HAUPPAUGE, NY 11788-3974
(631) 853-7373
Mailing address
500 PECONIC ST APT 53A, RONKONKOMA, NY 11779-7115
(631) 834-3365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108488
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
08/06/2020
Last updated
06/09/2022
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