Individual
CARLA CARLYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 643-8800
(631) 491-4440
Mailing address
43 OCEAN AVE, NORTHPORT, NY 11768-1810
(631) 807-4311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
042443
NY
Other
Enumeration date
11/07/2006
Last updated
02/14/2022
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