Organization
AFFIRMATIVE THERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CANONICO LCSW (OWNER / CLINICAL DIRECTOR)
(646) 470-1163
Entity
Organization
Contact information
Practice address
80 UNIVERSITY PL FL 2G, NEW YORK, NY 10003-4564
(646) 470-1163
Mailing address
80 UNIVERSITY PL FL 2G, NEW YORK, NY 10003-4564
(646) 470-1163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
06/15/2023
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