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Individual

MRS. CAITLIN EAMOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2233 NESCONSET HWY STE 105, LAKE GROVE, NY 11755-1000
(631) 306-4284
Mailing address
1108 VILLAGE DR APT B, RIDGE, NY 11961-8306
(631) 745-1027

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
108255
NY
1041C0700X
Clinical Social Worker
Primary
108255
NY

Other

Enumeration date
11/22/2021
Last updated
11/22/2021
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