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Individual

MR. ANDREW J HEARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
218 W 10TH ST, #5E, NEW YORK, NY 10014-2975
(917) 971-2672
Mailing address
1 UNION SQ W, SUITE 509, NEW YORK, NY 10003-3303
(917) 971-2672

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
043928-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043928-1
NEW YORK STATE SOCIAL WORK LICENSE NUMBER
NY
Enumeration date
04/10/2013
Last updated
04/10/2013
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