Individual
CAROLYN JEANNE FARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 BROADWAY, AMITYVILLE, NY 11701-2790
(516) 526-0285
Mailing address
316 EUCLID AVE, MASSAPEQUA PARK, NY 11762-2147
(516) 526-0285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075828
NY
Other
Enumeration date
10/26/2005
Last updated
07/12/2012
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