Individual
BARBARA L KANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
290 MAIN ST, EAST SETAUKET, NY 11733-2871
(631) 246-9878
Mailing address
44 SHORE RD, EAST SETAUKET, NY 11733-3921
(631) 246-5080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
028329 R
NY
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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