Individual
MS. CARRIE JILL BLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
152 CENTER LANE, LEVITTOWN, NY 11756
(516) 796-6633
(516) 796-6663
Mailing address
152 CENTER LANE, LEVITTOWN, NY 11756
(516) 796-6633
(516) 796-6663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076924
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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