Individual
MS. STACEY LAUREN MARRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
34 SHELBOURNE LN, STONY BROOK, NY 11790-3174
(631) 374-5811
Mailing address
452 SUFFOLK AVE, BRENTWOOD, NY 11717-4214
(631) 436-6065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
084824
NY
Other
Enumeration date
03/27/2012
Last updated
04/26/2012
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