Individual
ELLEN STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
129 HEWITT BLVD., CENTER MORICHES, NY 11934
(516) 909-1020
Mailing address
129 HEWITT BLVD., CENTER MORICHES, NY 11934
(516) 909-1020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RO46931-1
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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