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Individual

ANGELA M. BENGIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5861
(631) 286-6928
Mailing address
157 GILLER AVE, HOLBROOK, NY 11741-3214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
070794-1
NY
1041C0700X
Clinical Social Worker
Primary
076902
NY

Other

Enumeration date
05/04/2007
Last updated
11/18/2019
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