Individual
CAITLIN MIMNAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE FL 2, VALLEY STREAM, NY 11580-6220
(516) 569-6600
Mailing address
52 POPLAR ST, GARDEN CITY, NY 11530-6327
(516) 458-9143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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