Individual
MS. CAROLE E KOETZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 ARISTA DR, DIX HILLS, NY 11746
(631) 271-1265
(631) 271-1340
Mailing address
35 ARISTA DR, DIX HILLS, NY 11746
(631) 271-1265
(631) 271-1340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R015483
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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