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Individual

AMY PACIFICI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
37 W 26TH ST, NEW YORK, NY 10010-1006
(212) 696-1550
Mailing address
37 W 26TH ST, NEW YORK, NY 10010-1006
(212) 696-1550

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
073156
NY
1041C0700X
Clinical Social Worker
Primary
077490
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073156
LICENSE NUMBER
NY
Enumeration date
10/03/2008
Last updated
11/01/2011
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