Individual
CAROLINE STEPHANIE KACZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 E 76TH ST # 3, NEW YORK, NY 10021-2611
(631) 553-4694
Mailing address
225 E 85TH ST APT 901, NEW YORK, NY 10028-3082
(631) 553-4694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085253
NY
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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