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Individual

MS. CASEY ANNE HINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L-CSW

Contact information

Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
(631) 920-8468
Mailing address
5 GEORGE CT, MILLER PLACE, NY 11764-1316

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
064914
NY
1041C0700X
Clinical Social Worker
074253-1
NY

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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