Individual
MRS. CARLI PACCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 761-4206
Mailing address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750620290
—
NY
Enumeration date
08/22/2019
Last updated
02/26/2021
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