Individual
BETH KASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 N BAYVIEW AVE, FREEPORT, NY 11520-1901
(516) 377-6921
Mailing address
157 N BAYVIEW AVE, FREEPORT, NY 11520-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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