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Individual

MRS. BRITNEY ELANA THEMISTOCLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
34 S BROADWAY STE 208, WHITE PLAINS, NY 10601-4431
(845) 389-0804
Mailing address
70 WEST ST APT B13, HARRISON, NY 10528-4016
(845) 389-0894

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09120501
NY

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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