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Individual

CAROLE HALPERT SPIVACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
425 E 86TH ST, 1A, NEW YORK, NY 10028-6449
(212) 920-6019
(914) 315-6369
Mailing address
125 LARCHMONT AVE, 3F, LARCHMONT, NY 10538-3761
(212) 920-6019
(914) 315-6369

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R045671
NY

Other

Enumeration date
10/27/2006
Last updated
08/11/2010
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