Individual
AVIVA GUTTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
25 W MAIN ST, SMITHTOWN, NY 11787-2602
(631) 863-1139
Mailing address
25 W MAIN ST, SMITHTOWN, NY 11787-2602
(631) 863-1139
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32796
NY
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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