Individual
MS. RITA ELIZABETH DEBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
379 LOCUST AVE, OAKDALE, NY 11769
(631) 244-5920
(631) 244-7360
Mailing address
82 STEUBEN BLVD, NESCONSET, NY 11767-3039
(631) 588-8862
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
P063519
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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