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Individual

ANDREA L PAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
22 LAWRENCE AVE STE 213, SMITHTOWN, NY 11787-3619
(631) 721-4030
Mailing address
75 LONGFELLOW DR, KINGS PARK, NY 11754-2344
(516) 313-2899

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
085604-1
NY
1041C0700X
Clinical Social Worker
Primary
083034-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03602893
NY
Enumeration date
04/16/2013
Last updated
04/24/2018
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