Individual
BARBARA ANN CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 BON AIRE CIR APT 8014, SUFFERN, NY 10901-7359
(845) 300-2239
Mailing address
43 BON AIRE CIR APT 8014, SUFFERN, NY 10901-7359
(845) 300-2239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
078327-1
NY
1041C0700X
Clinical Social Worker
Primary
081068-1
NY
1041S0200X
School Social Worker
2554797
NY
Other
Enumeration date
05/23/2013
Last updated
06/10/2014
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