Individual
CAROLYN SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2291 VICTORY BLVD, STATEN ISLAND, NY 10314
(718) 391-4557
Mailing address
2291 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 391-4557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069983R
NY
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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