Individual
CAROLYN BARRAVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SOUTH KENNEDY DRIVE, CENTEREACH, NY 11720
(631) 696-0972
Mailing address
35 SOUTH KENNEDY DRIVE, CENTEREACH, NY 11720
(631) 696-0972
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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