Individual
ANDREA K M SMOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
270 PULASKI ROAD, SUITE D, GREENLAWN, NY 11740
(631) 427-6060
(631) 549-4858
Mailing address
270 PULASKI ROAD, SUITE D, GREENLAWN, NY 11740
(631) 427-6060
(631) 549-4858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R025422-1
NY
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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