Individual
MISS AMY BETH LYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
260 E 188TH ST, 4TH FLOOR, BRONX, NY 10458-5302
(718) 960-0401
(718) 933-8208
Mailing address
260 E 188TH ST, 4TH FLOOR, BRONX, NY 10458-5302
(718) 960-0401
(718) 933-8208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076214
NY
Other
Enumeration date
12/20/2006
Last updated
12/04/2008
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